Midwest Dental

LBN: Modern Dental Professionals, Mn Pc
Midwest Dental is an health care organization with primary practice located at 1625 Lena Ct Suite 100, Eagan MN 55122-2959. 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 (651) 452-4111, or through Moos, Jeffrey W. via phone (715) 829-2791.

Contact Information

Primary practice address
1625 Lena Ct Suite 100 Eagan MN 55122-2959
Phone: (651) 452-4111
Fax: (651) 452-8824
Website:
Map and Directions
Authorized official contact:
Name: Moos, Jeffrey W. Doctor of Dental Surgery (DDS)
Phone: (715) 829-2791

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1710357520
LBN Legal business name Modern Dental Professionals, Mn 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 Oct 6th, 2015
Last updated Oct 6th, 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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