MODERN DENTAL PROFESSIONALS MINNESOTA PC (NPI# 1316216377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316216377 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS MINNESOTA PC |
| Other Organization Name | MIDWEST DENTAL - WELLS |
| Practice Address |
150 3rd St Nw Wells MN 56097-1021 |
| Practice Telephone | 5075535085 |
| Practice Fax Number | 5075535948 |
| Mailing Telephone | 5075535085 |
| Mailing Fax Number | 5075535948 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |
| Authorized Official Name | JEFFREY W. 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 | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Midwest Dental - Wells | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205286960 | Modern Dental Professionals Minnesota PC | Dentist | 315 East Ave Ste 1, Red Wing, MN 55066-2567 | 2016-06-14 |
| 1912212606 | Modern Dental Professionals Minnesota PC | Dentist | 530 West Pleasant, Mankato, MN 56001 | 2010-08-18 |
| 1447860523 | Modern Dental Professionals Minnesota PC | Dentist | 2010 27th Ave S, Minneapolis, MN 55406-1108 | 2020-08-04 |
| 1295238178 | Modern Dental Professionals Minnesota PC | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2018-03-16 |
| 1730539362 | Modern Dental Professionals Minnesota PC | Dentist | 1400 Baker Park Rd, Suite 1040, Maple Plain, MN 55359-9851 | 2016-06-14 |
| 1710309075 | Modern Dental Professionals Minnesota PC | Dentist | 203 E Main St, Suite A, Melrose, MN 56352-4524 | 2014-01-06 |
| 1043589484 | Modern Dental Professionals Minnesota PC | Dentist | 29663 Gateway Ave, Chisago City, MN 55013-0339 | 2011-12-14 |
| 1487940284 | Modern Dental Professionals Minnesota PC | Dentist | 2059 Robert St S, West Saint Paul, MN 55118-3924 | 2011-06-21 |
| 1255639696 | Modern Dental Professionals Minnesota PC | Dentist | 1121 Town Centre Dr, #200, Eagan, MN 55123-1199 | 2011-03-09 |
| 1861714792 | Modern Dental Professionals Minnesota PC | Dentist | 925 Highway 55, Suite #102, Hastings, MN 55033-3734 | 2010-02-19 |
| Street Address |
150 3RD ST NW |
| City | WELLS |
| State | MN |
| Zip Code | 56097-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023116779 | Gary Lee Hagen | Dentist | 150 3rd St Nw, Wells, MN 56097-0010 | 2006-09-20 |
| 1477037703 | Chase Jeffery Williams | Dentist | 150 3rd St Nw, Wells, MN 56097-1021 | 2018-09-22 |
| 1356726673 | Richard Warnick | Dentist | 150 3rd St Nw, Wells, MN 56097-1021 | 2015-07-28 |
| 1699855478 | Independent Therapy Services, Inc | Occupational Therapist | 150 3rd St Nw, Wells, MN 56097 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801911250 | Janise Bogenschutz Brindley | Pharmacist | 36 So Broadway, Wells, MN 56097-0036 | 2007-03-21 |
| 1205920055 | Susan Stiles | Technician | 240 5th Ave Nw, Wells, MN 56097-1034 | 2006-10-03 |
| 1730599481 | Jennifer Crawford | Social Worker | 350 3rd St Nw, Wells, MN 56097-1049 | 2014-05-04 |
| 1821483066 | Jennifer Kimpton | Social Worker | 704 4th Ave Sw, Wells, MN 56097-1406 | 2015-04-04 |
| 1710989058 | Darin J Magnuson | Chiropractor | 23 3rd St Se, Wells, MN 56097-1617 | 2005-06-01 |
| 1528285475 | Magnuson Chiropractic Center Inc | Chiropractor | 23 3rd St Se, Wells, MN 56097-1617 | 2007-04-20 |
| 1457463457 | Wells Drug Co | Pharmacy | 36 S Broadway, Wells, MN 56097-1633 | 2006-08-31 |
| 1841296290 | Chad Alan Malwitz | Chiropractor | 46 S Broadway, Wells, MN 56097-1633 | 2005-06-21 |
| 1952754087 | Katherine Kaufman | Pharmacist | 36 S Broadway, Wells, MN 56097-1633 | 2016-07-13 |
| 1235510777 | Heather Joline Yennie | Pharmacist | 36 S Broadway, Wells, MN 56097-1633 | 2015-06-10 |
| Find all providers in zip 56097 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700367190 | Ruby Mountain Dental LLC | Dentist | 1000 Humboldt Ave Ste A, Wells, NV 89835 | 2018-08-24 |
| 1992861025 | Lawrence Andrew Boyle | Dentist | 1332 Post Rd, Unit 1a, Wells, ME 04090-4561 | 2007-01-01 |
| 1942387782 | Andrew W Rutter | Dentist | 1662 Post Rd Unit B1, Wells, ME 04090-4638 | 2006-11-01 |
| 1902809916 | Lee Richheimer | Dentist | 1416 Post Rd, Wells, ME 04090-4508 | 2005-05-23 |
| 1477037703 | Chase Jeffery Williams | Dentist | 150 3rd St Nw, Wells, MN 56097-1021 | 2018-09-22 |
| 1356726673 | Richard Warnick | Dentist | 150 3rd St Nw, Wells, MN 56097-1021 | 2015-07-28 |
| 1619183902 | Lee Richheimer Dds Pa | Dentist | 1416 Post Rd, Wells, ME 04090-4508 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| 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.