OrganizationActive
Modern Dental Professionals Minnesota PC
NPI 1205286960 · Dentist · Red Wing, MN
Modern Dental Professionals Minnesota PC is a Dentist organization in Red Wing, MN (NPI 1205286960).
Provider details
- NPI number
- 1205286960
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Moos, Owner(715) 926-5050
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 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
315 East Ave Ste 1
Red Wing, MN 55066-2567
Phone: (651) 388-1147
Fax: (651) 388-1140
Street-level locationGet directions
Mailing address
315 East Ave Ste 1
Red Wing, MN 55066-2567
Other names (DBA / former)
- Doing business as
- Midwest Dental
Registry dates
- Enumerated
- 2016-06-14
- Last updated
- 2016-06-14
Frequently asked questions
- What is Modern Dental Professionals Minnesota PC's NPI number?
- Modern Dental Professionals Minnesota PC's National Provider Identifier (NPI) is 1205286960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dental Professionals Minnesota PC?
- Modern Dental Professionals Minnesota PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Modern Dental Professionals Minnesota PC located?
- Modern Dental Professionals Minnesota PC's practice location on file with NPPES is 315 East Ave Ste 1, Red Wing, MN 55066-2567.
- What is Modern Dental Professionals Minnesota PC's phone number?
- The practice phone number listed in the NPPES registry for Modern Dental Professionals Minnesota PC is (651) 388-1147.
- Who is the authorized official for Modern Dental Professionals Minnesota PC?
- The authorized official listed on Modern Dental Professionals Minnesota PC's NPPES record is Jeffrey Moos, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dental Professionals Minnesota PC's NPI active?
- Yes — Modern Dental Professionals Minnesota PC's NPI (1205286960) is active in the NPPES registry as of the last update on 2016-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.