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Modern Dental Professionals Mn PC

General Practice Dentistry in Apple Valley, MN · enumerated 2015 · authorized official Jeffrey Moos, Owner.

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

National Provider Identifier

1235509084

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Registry record

Entity type Organization (Type 2)
Legal business name Modern Dental Professionals Mn PC
Other name <Unavail>
Practice address 15594 Pilot Knob Rd, Suite 100, Apple Valley, MN, 55124
Fax (952) 423-1978
Enumeration date Oct 5, 2015
Last updated in NPPES Oct 5, 2015

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Jeffrey Moos
Title Owner

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 Mn PC?
The NPI for Modern Dental Professionals Mn PC is 1235509084, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Modern Dental Professionals Mn 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 2015-10-05.