Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modern Dental Professionals Minnesota PC

Organization General Practice Dentistry · NPI 1043589484

Modern Dental Professionals Minnesota PC is a General Practice Dentistry in Chisago City, Minnesota. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29663 Gateway Ave
Chisago City, MN 55013-0339
Phone: (651) 257-3639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1043589484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Moos — Ceo · (715) 926-5050
Other names Midwest Dental - Chisago City
NPI enumeratedDecember 14, 2011
Last updated in NPPESDecember 14, 2011
Mailing address29663 Gateway Ave, Chisago City, MN 55013-0339

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