Mark J Modjean Dds Pa

LBN: Mark J Modjean Dds Pa
Mark J Modjean Dds Pa is an health care organization with primary practice located at 7001 Nicollet Ave S , Richfield MN 55423-3162. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Mark J Modjean Dds Pa can be contacted via phone (612) 866-3322, or through Modjean, Mark John via phone (612) 866-3322.

Contact Information

Primary practice address
7001 Nicollet Ave S Richfield MN 55423-3162
Phone: (612) 866-3322
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Modjean, Mark John Doctor of Dental Surgery (DDS)
Phone: (612) 866-3322

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8439 Minnesota

Profile Details

NPI number 1538140934
LBN Legal business name Mark J Modjean Dds Pa
DBA Doing business as
Authorized official Modjean, Mark John Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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