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 1679866735

Modern Dental Professionals Mn PC is a General Practice Dentistry in Waconia, 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.

See every abbreviation used in this directory →

Practice location Address checks out

24 S Olive St
Waconia, MN 55387-1404
Phone: (952) 442-2518
Fax: (952) 442-5040
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 number1679866735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Moos — President - Ceo · (715) 926-5050
Other names Midwest Dental - Waconia
NPI enumeratedMay 24, 2011
Last updated in NPPESMay 24, 2011
Mailing address24 S Olive St, Waconia, MN 55387-1404

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