OrganizationActive
Modern Dental Professionals, Mn PC
NPI 1073796744 · Dentist · Lewiston, MN
Modern Dental Professionals, Mn PC is a Dentist organization in Lewiston, MN (NPI 1073796744).
Provider details
- NPI number
- 1073796744
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Moos, Ceo(715) 926-5050
- License
- D11386 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
560 Debra Dr
Lewiston, MN 55952-2104
Phone: (507) 523-2267
Street-level locationGet directions
Mailing address
560 Debra Dr
Lewiston, MN 55952-2104
Other names (DBA / former)
- Doing business as
- Midwest Dental
Registry dates
- Enumerated
- 2007-12-17
- Last updated
- 2007-12-17
Frequently asked questions
- What is Modern Dental Professionals, Mn PC's NPI number?
- Modern Dental Professionals, Mn PC's National Provider Identifier (NPI) is 1073796744, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dental Professionals, Mn PC?
- Modern Dental Professionals, Mn PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Modern Dental Professionals, Mn PC located?
- Modern Dental Professionals, Mn PC's practice location on file with NPPES is 560 Debra Dr, Lewiston, MN 55952-2104.
- What is Modern Dental Professionals, Mn PC's phone number?
- The practice phone number listed in the NPPES registry for Modern Dental Professionals, Mn PC is (507) 523-2267.
- Who is the authorized official for Modern Dental Professionals, Mn PC?
- The authorized official listed on Modern Dental Professionals, Mn PC's NPPES record is Jeffrey Moos, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dental Professionals, Mn PC's NPI active?
- Yes — Modern Dental Professionals, Mn PC's NPI (1073796744) is active in the NPPES registry as of the last update on 2007-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.