Midwest Dental

LBN: Modern Dental Professionals Mn Pc
Midwest Dental is an health care organization with primary practice located at 15594 Pilot Knob Rd Suite 100, Apple Valley MN 55124-7295. 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 Mn Pc can be contacted via phone (651) 419-3840, or through Moos, Jeffrey via phone (715) 829-2791.

Contact Information

Primary practice address
15594 Pilot Knob Rd Suite 100 Apple Valley MN 55124-7295
Phone: (651) 419-3840
Fax: (952) 423-1978
Website:
Map and Directions
Authorized official contact:
Name: Moos, Jeffrey Doctor of Dental Surgery (DDS)
Phone: (715) 829-2791

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1235509084
LBN Legal business name Modern Dental Professionals Mn Pc
DBA Doing business as Midwest Dental
Authorized official Moos, Jeffrey Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2015
Last updated Oct 5th, 2015 - about 11 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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