Midwest Dental

LBN: Modern Dental Professionals Mn Pc
Midwest Dental is an health care organization with primary practice located at 195 Jefferson Blvd , Big Lake MN 55309-9572. 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 (763) 280-5711, or through Moos, Jeffrey via phone (715) 829-2791.

Contact Information

Primary practice address
195 Jefferson Blvd Big Lake MN 55309-9572
Phone: (763) 280-5711
Fax: (763) 263-5822
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 1215307061
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 9 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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