Midwest Dental - Chisago City

LBN: Modern Dental Professionals Minnesota Pc
Midwest Dental - Chisago City is an health care organization with primary practice located at 29663 Gateway Ave , Chisago City MN 55013-0339. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Modern Dental Professionals Minnesota Pc can be contacted via phone (651) 257-3639, or through Moos, Jeffrey via phone (715) 926-5050.

Contact Information

Primary practice address
29663 Gateway Ave Chisago City MN 55013-0339
Phone: (651) 257-3639
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moos, Jeffrey Doctor of Dental Surgery (DDS)
Phone: (715) 926-5050

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1043589484
LBN Legal business name Modern Dental Professionals Minnesota Pc
DBA Doing business as Midwest Dental - Chisago City
Authorized official Moos, Jeffrey Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2011
Last updated Dec 14th, 2011 - about 15 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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