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

Woodbury Modern Dentistry, PC

Organization General Practice Dentistry · NPI 1205777182

Woodbury Modern Dentistry, PC is a General Practice Dentistry in Woodbury, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
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

265 Radio Dr Ste E
Woodbury, MN 55125-5809
Phone: (612) 294-6742
Fax: (612) 285-3884
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 number1205777182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Wilkinson — Owner · (612) 294-6742
Other names Woodbury Modern Dentistry
NPI enumeratedApril 3, 2026
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing addressPo Box 660041, Dallas, TX 75266-0041

Other providers in Woodbury