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Modern Dental Professionals Mn PC

General Practice Dentistry in Waconia, MN · enumerated 2011 · authorized official Jeffrey Moos, President - Ceo.

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

National Provider Identifier

1679866735

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Registry record

Entity type Organization (Type 2)
Legal business name Modern Dental Professionals Mn PC
Other name <Unavail>
Practice address 24 S Olive St, Waconia, MN, 55387
Phone (952) 442-2518
Fax (952) 442-5040
Enumeration date May 24, 2011
Last updated in NPPES May 24, 2011

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Jeffrey Moos
Title President - Ceo
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

Who is the authorized official for Modern Dental Professionals Mn PC?
NPPES lists Jeffrey Moos (President - Ceo) as the authorized official for this organization.
What is the NPI number for Modern Dental Professionals Mn PC?
The NPI for Modern Dental Professionals Mn PC is 1679866735, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-24.