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Modern Dental Professionals Minnesota PC

Dentist in Red Wing, MN · enumerated 2016 · authorized official Jeffrey Moos, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205286960

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Registry record

Entity type Organization (Type 2)
Legal business name Modern Dental Professionals Minnesota PC
Other name <Unavail>
Practice address 315 East Ave Ste 1, Red Wing, MN, 55066
Phone (651) 388-1147
Fax (651) 388-1140
Enumeration date Jun 14, 2016
Last updated in NPPES Jun 14, 2016

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Jeffrey Moos
Title Owner
Phone (715) 926-5050

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Modern Dental Professionals Minnesota PC?
The NPI for Modern Dental Professionals Minnesota PC is 1205286960, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Modern Dental Professionals Minnesota PC?
NPPES lists Jeffrey Moos (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-06-14.