MODERN DENTAL PROFESSIONALS MINNESOTA PC (NPI# 1710309075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710309075 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS MINNESOTA PC |
| Other Organization Name | MIDWEST DENTAL |
| Practice Address |
203 E Main St Suite A Melrose MN 56352-4524 |
| Practice Telephone | 3202564267 |
| Practice Fax Number | 3202564167 |
| Mailing Telephone | 3202564267 |
| Mailing Fax Number | 3202564167 |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |
| Authorized Official Name | DR. JEFFREY W MOOS (OWNER) |
| 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 |
MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Midwest Dental | 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 |
| 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 |
203 E MAIN ST SUITE A |
| City | MELROSE |
| State | MN |
| Zip Code | 56352-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477935088 | Matthew P Ford | Dentist | 203 E Main St, Melrose, MN 56352-4524 | 2015-06-19 |
| 1578857587 | Melrose Dental Office LLC | Dentist | 203 E Main St, Suite A, Melrose, MN 56352-4524 | 2011-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922231943 | Heartland Security Services, LLC | Emergency Response System Companies | 218 North 8th Avenue West, Suite 2, Melrose, MN 56352 | 2009-08-25 |
| 1376688234 | City of Melrose | Ambulance | 225 East First Street North, Melrose, MN 56352 | 2007-02-20 |
| 1083698286 | James A Mohs | Family Medicine | 525 W Main, Centracare Clinic, Melrose, MN 56352 | 2005-12-01 |
| 1629070230 | Centracare Clinic Melrose | Durable Medical Equipment & Medical Supplies | 525 W Main St, Melrose, MN 56352 | 2005-08-12 |
| 1033413588 | Sarah Jane Zimmer | Nurse Anesthetist, Certified Registered | 525 W Main, Centracare Health System-melrose, Melrose, MN 56352 | 2010-12-26 |
| 1922173376 | Russell Roman Sieben | Dentist | 615 West Main Street, Melrose, MN 56352 | 2006-11-21 |
| 1508931965 | Ernest Allen Hedglin | Dentist | 615 West Main Street, Melrose, MN 56352 | 2006-11-21 |
| 1770564833 | Dante Carl Beretta | Family Medicine | 525 Main St W, Centracare Health System - Melrose, Melrose, MN 56352-1043 | 2005-11-07 |
| 1306456256 | Jill Marie Wilcken | Nurse Practitioner | 525 Main St W, Melrose, MN 56352-1043 | 2020-08-05 |
| 1952955320 | Joshua Larson | Nurse Practitioner | 525 Main St W, Melrose, MN 56352-1043 | 2019-07-24 |
| Find all providers in zip 56352 | ||||
| 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 |
|---|---|---|---|---|
| 1972044055 | Yujin Lee | Dentist | 14 Island Hill Ave Unit 209, Melrose, MA 02176-6115 | 2017-03-09 |
| 1932409877 | Jared David Solomon | Dentist | 12 W Emerson St, Melrose, MA 02176-3110 | 2010-10-26 |
| 1417113630 | Tommy M Thomson | Dentist | 2504 Se 30th St, Melrose, FL 32666-5107 | 2008-08-07 |
| 1467610246 | John Symond | Dentist | 554 Franklin St, Melrose, MA 02176-1741 | 2008-05-28 |
| 1639211576 | Joseph J Scola Dds PC | Dentist | 486 A Main St, Melrose, MA 02176 | 2007-02-13 |
| 1710043930 | Vasilios Mourmoutis | Dentist | 27 E Emerson St, Melrose, MA 02176-3520 | 2006-12-29 |
| 1508943572 | Nelson Pan Dds Debra Hong Pan Dmd Ms LLC | Dentist | 985 Main St, Melrose, MA 02176-1913 | 2006-11-01 |
| 1457441107 | Daniel N Giatrelis | Dentist | 515 Franklin St, Melrose, MA 02176-1742 | 2006-10-13 |
| 1275643728 | Nahal Panah | Dentist | 80 W Foster St, Melrose, MA 02176 | 2006-08-30 |
| 1407960438 | Solomon & Wright Associates PC | Dentist | 12 West Emerson Street, Melrose, MA 02176-3110 | 2006-08-18 |
| Find all providers in MELROSE | ||||
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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.