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

Modern Dental Professionals Minnesota PC

Organization Dentist · NPI 1205286960

Modern Dental Professionals Minnesota PC is a Dentist in Red Wing, Minnesota. Registered with an NPI since 2016.

In the registry since
2016
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

315 E Ave Ste 1
Red Wing, MN 55066-2567
Phone: (651) 388-1147
Fax: (651) 388-1140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1205286960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Moos — Owner · (715) 926-5050
Other names Midwest Dental
NPI enumeratedJune 14, 2016
Last updated in NPPESJune 14, 2016
Mailing address315 East Ave Ste 1, Red Wing, MN 55066-2567

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