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

Modern Dental Professionals, Mn PC

Organization Dentist · NPI 1073796744

Modern Dental Professionals, Mn PC is a Dentist in Lewiston, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
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

560 Debra Dr
Lewiston, MN 55952-2104
Phone: (507) 523-2267
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11386 (MN)

Record details

NPI number1073796744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Moos — Ceo · (715) 926-5050
Other names Midwest Dental
NPI enumeratedDecember 17, 2007
Last updated in NPPESDecember 17, 2007
Mailing address560 Debra Dr, Lewiston, MN 55952-2104