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

Modern Dental Professionals, Mn PC

Organization Dentist · NPI 1558643817

Modern Dental Professionals, Mn PC is a Dentist in Saint Cloud, 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

4140 Thielman Ln Ste 302
Saint Cloud, MN 56301-7326
Phone: (320) 252-7752
Fax: (320) 252-2289
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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 number1558643817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Myer — Cfo · (715) 926-5050
Other names Midwest Dental - St. Cloud
NPI enumeratedSeptember 13, 2011
Last updated in NPPESSeptember 13, 2011
Mailing address4140 Thielman Ln, Suite 302, Saint Cloud, MN 56301-7326

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