MODERN DENTAL PROFESSIONALS MN PC (NPI# 1245413921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245413921 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS MN PC |
| Other Organization Name | MIDWEST DENTAL |
| Practice Address |
226 Main St S Chatfield MN 55923-1225 |
| Mailing Address |
431 Main St N Suite B Chatfield MN 55923-1176 |
| Practice Telephone | 5078673550 |
| Mailing Telephone | 5078673550 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2009-05-18 |
| Authorized Official Name | JEFFREY MOOS (CEO) |
| Authorized Official Telephone | 7159265050 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D11386 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Midwest Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235509084 | Modern Dental Professionals Mn PC | Dentist | 15594 Pilot Knob Rd, Suite 100, Apple Valley, MN 55124-7295 | 2015-10-05 |
| 1215307061 | Modern Dental Professionals Mn PC | Dentist | 195 Jefferson Blvd, Big Lake, MN 55309-9572 | 2015-10-05 |
| 1679866735 | Modern Dental Professionals Mn PC | Dentist | 24 S Olive St, Waconia, MN 55387-1404 | 2011-05-24 |
| 1861718173 | Modern Dental Professionals Mn PC | Dentist | 200 Village Center Dr, Suite 400, North Oaks, MN 55127-7090 | 2010-04-12 |
| 1487805925 | Modern Dental Professionals Mn PC | Dentist | 302 Fire Monument Rd, Hinckley, MN 55037-8350 | 2008-10-02 |
| 1881877553 | Modern Dental Professionals Mn PC | Dentist | 2355 Ariel St N, Suite A, Maplewood, MN 55109-2275 | 2007-12-17 |
| 1972786655 | Modern Dental Professionals Mn PC | Dentist | 2215 2nd St Sw, Suite 150, Rochester, MN 55902-4147 | 2007-12-17 |
| 1518140284 | Modern Dental Professionals Mn PC | Dentist | 1600 Gilmore Ave, Winona, MN 55987-2172 | 2007-12-17 |
| Street Address |
226 MAIN ST S |
| City | CHATFIELD |
| State | MN |
| Zip Code | 55923-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831498864 | Chatfield Public School Isd #227 | Local Education Agency (LEA) | 205 Union St Ne, Chatfield, MN 55923-1021 | 2011-03-16 |
| 1124429089 | Patricia Anderson | Registered Nurse | 625 Union St Ne, Chatfield, MN 55923-1054 | 2014-09-10 |
| 1487706735 | Mcbe Company | Pharmacy | 237 Main St N, Chatfield, MN 55923-1170 | 2007-01-17 |
| 1437706033 | Omc Retail Services. LLC | Pharmacy | 237 Main St N, Chatfield, MN 55923-1170 | 2019-08-20 |
| 1477048759 | Matthew S Fry | Dentist | 431 Main St N Ste B, Chatfield, MN 55923-1172 | 2018-06-28 |
| 1952730434 | Monarch Patient Transport, LLC | Non-emergency Medical Transport (VAN) | 581 Main St N, Chatfield, MN 55923-1184 | 2013-11-05 |
| 1689672628 | City of Chatfield | Ambulance | 21 2nd St Se, Chatfield, MN 55923-1204 | 2005-07-13 |
| 1902935059 | Aiyasha Downs | Dentist | Chatfield Dental Center, 226 Main Street South, Chatfield, MN 55923-1225 | 2007-03-05 |
| 1083746812 | Julie Kay Elder | Chiropractor | 119 Main St S, Chatfield, MN 55923-1253 | 2007-03-09 |
| 1588844773 | Elder Chiropractic Offices Ltd. | Clinic/Center | 119 Main St S, Chatfield, MN 55923-1253 | 2007-11-06 |
| Find all providers in zip 55923 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
| 1326650961 | Mcgann Family Dental | Dentist | 8981 33rd St N, Lake Elmo, MN 55042-9209 | 2020-08-17 |
| 1154931988 | Jordan Jeffrey Bolger | Dentist | 13899 Highway 15 S Frontage Rd, Savage, MN 55378-5537 | 2020-08-06 |
| 1285243733 | Grant R. Sorensen, Dds | Dentist | 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 | 2020-07-29 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
| 1104434380 | Jongseuk Lim | Dentist | 1119 W Frontage Rd, Owatonna, MN 55060-5663 | 2020-07-14 |
| 1699393942 | Danika Elizabeth Jackson | Dentist | 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.