Midwest Dental

LBN: Modern Dental Professionals Minnesota Pc
Midwest Dental is an health care organization with primary practice located at 2059 Robert St S , West Saint Paul MN 55118-3924. 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) 457-9633, or through Moos, Jeffrey W. via phone (715) 926-5050.

Contact Information

Primary practice address
2059 Robert St S West Saint Paul MN 55118-3924
Phone: (651) 457-9633
Fax: (651) 457-3849
Website:
Map and Directions
Authorized official contact:
Name: Moos, Jeffrey W. Doctor of Dental Surgery (DDS)
Phone: (715) 926-5050

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1487940284
LBN Legal business name Modern Dental Professionals Minnesota Pc
DBA Doing business as Midwest Dental
Authorized official Moos, Jeffrey W. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2011
Last updated Jun 21st, 2011 - about 14 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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