OrganizationActive
Modern Dental Professionals, Mn PC
NPI 1003286808 · General Practice Dentistry · Coon Rapids, MN
Provider details
- NPI number
- 1003286808
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Moos, Owner(715) 829-2791
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2147 Northdale Blvd Nw
Nwood
Coon Rapids, MN 55433-3006
Phone: (763) 767-4888
Fax: (763) 767-4889
Street-level locationGet directions
Mailing address
2147 Northdale Blvd Nw
Coon Rapids, MN 55433-3006
Other names (DBA / former)
- Doing business as
- Midwest Dental
Registry dates
- Enumerated
- 2015-10-06
- Last updated
- 2015-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.