MODERN DENTAL PROFESSIONALS MINNESOTA PC (NPI# 1447860523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447860523 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS MINNESOTA PC |
| Practice Address |
2010 27th Ave S Minneapolis MN 55406-1108 |
| Practice Telephone | 6123368478 |
| Mailing Telephone | 6123368478 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | BRENT ALTHOFF (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7152034689 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Midwest Dental - Seward | 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 |
| 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 |
| 1316216377 | Modern Dental Professionals Minnesota PC | Dentist | 150 3rd St Nw, Wells, MN 56097-1021 | 2011-12-21 |
| 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 |
2010 27TH AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55406-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063486256 | James W Stockton | Dentist | 2010 27th Ave S, Minneapolis, MN 55406-1108 | 2006-02-14 |
| 1417568494 | Zoha Khatoon | Dentist | 2010 27th Ave S, Minneapolis, MN 55406-1108 | 2020-08-12 |
| 1194997783 | Dr Alan Russell Plc | Dentist | 2010 27th Ave S, Minneapolis, MN 55406-1108 | 2008-03-24 |
| 1124092119 | Alan L Russell | Dentist | 2010 27th Ave S, Minneapolis, MN 55406-1108 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
| 1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
| 1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
| 1194290593 | Noelle Therese Wolf | Counselor | 2637 27th Ave S # 229, Minneapolis, MN 55406 | 2018-10-11 |
| 1255819819 | Ayan Osman Ali | Behavior Technician | 3355 Haiwatha Ave Suite 100, Minneapolis, MN 55406 | 2018-08-04 |
| 1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
| 1497261770 | Carroll Lee Beaty | Massage Therapist | 2801 42nd Ave. So., Minneapolis, MN 55406 | 2017-12-21 |
| 1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
| 1851823942 | Safia Abdulkadir Mohamud | Contractor | 2740 Minnehaha Ave Suit 100, Minneapolis, MN 55406 | 2017-03-29 |
| 1881051944 | Sos Transportation LLC | Non-emergency Medical Transport (VAN) | 3355 Haiwatha Ave Suit 100, Minneapolis, MN 55406 | 2016-01-20 |
| Find all providers in zip 55406 | ||||
| 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 |
|---|---|---|---|---|
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1871150417 | Muktar Farah | Dentist | 115 Broadway St Ne, Minneapolis, MN 55413-1805 | 2019-05-20 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
| 1811483795 | Minnesota Durable Medical Equipment LLC | Dentist | 15600 36th Ave N Ste 270, Minneapolis, MN 55446-3372 | 2018-07-03 |
| 1871010165 | Mayank Shrivastava | Dentist | 515 Delaware St Se # 6-320, Minneapolis, MN 55455-0357 | 2017-08-28 |
| 1659808079 | Christopher David Carvalho | Dentist | 515 Delaware St Se Fl 7, Minneapolis, MN 55455-0357 | 2017-05-16 |
| 1821449133 | Yannie Chea | Dentist | 616 Washington Ave Se Apt 213, Minneapolis, MN 55414-2998 | 2016-06-28 |
| 1245688969 | Daniel Jabs | Dentist | 7-368 Moos Tower, 515 Delaware St Se, Minneapolis, MN 55455 | 2016-06-03 |
| 1780039263 | Ursula Mcguckin | Dentist | 825 Nicollet Avenue #1025, Minneapolis, MN 55402 | 2016-05-03 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55406 |
Please comment or provide details below to improve the information on MODERN DENTAL PROFESSIONALS MINNESOTA PC.
| 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.