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

Modern Dental Professionals, Minnesota PC

Organization Dentist · NPI 1104147735

Modern Dental Professionals, Minnesota PC is a Dentist in Centerville, Minnesota. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1853 Main St
Centerville, MN 55038-9794
Phone: (651) 653-3272
Fax: (651) 653-3272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1104147735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Moos — President · (715) 926-5050
Other names Midwest Dental
NPI enumeratedJune 17, 2010
Last updated in NPPESJune 17, 2010
Mailing address1853 Main St, Centerville, MN 55038-9794