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

Modern Dental Professionals Mn PC

Organization General Practice Dentistry · NPI 1215307061

Modern Dental Professionals Mn PC is a General Practice Dentistry in Big Lake, Minnesota. Registered with an NPI since 2015.

In the registry since
2015
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

195 Jefferson Blvd
Big Lake, MN 55309-9572
Phone: (763) 280-5711
Fax: (763) 263-5822
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1215307061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Moos — Owner · (715) 829-2791
Other names Midwest Dental
NPI enumeratedOctober 5, 2015
Last updated in NPPESOctober 5, 2015
Mailing address195 Jefferson Blvd, Big Lake, MN 55309-9572

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