OrganizationActive
Woodbury Modern Dentistry, PC
NPI 1205777182 · General Practice Dentistry · Woodbury, MN
Woodbury Modern Dentistry, PC is a General Practice Dentistry organization in Woodbury, MN (NPI 1205777182).
Provider details
- NPI number
- 1205777182
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mitchell Wilkinson, Owner(612) 294-6742
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
265 Radio Dr Ste E
Woodbury, MN 55125-5809
Phone: (612) 294-6742
Fax: (612) 285-3884
Street-level locationGet directions
Mailing address
Po Box 660041
Dallas, TX 75266-0041
Other names (DBA / former)
- Doing business as
- Woodbury Modern Dentistry
Registry dates
- Enumerated
- 2026-04-03
- Last updated
- 2026-04-03
- Certified
- 2026-04-03
Frequently asked questions
- What is Woodbury Modern Dentistry, PC's NPI number?
- Woodbury Modern Dentistry, PC's National Provider Identifier (NPI) is 1205777182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Woodbury Modern Dentistry, PC?
- Woodbury Modern Dentistry, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Woodbury Modern Dentistry, PC located?
- Woodbury Modern Dentistry, PC's practice location on file with NPPES is 265 Radio Dr Ste E, Woodbury, MN 55125-5809.
- What is Woodbury Modern Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Woodbury Modern Dentistry, PC is (612) 294-6742.
- Who is the authorized official for Woodbury Modern Dentistry, PC?
- The authorized official listed on Woodbury Modern Dentistry, PC's NPPES record is Mitchell Wilkinson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Woodbury Modern Dentistry, PC's NPI active?
- Yes — Woodbury Modern Dentistry, PC's NPI (1205777182) is active in the NPPES registry as of the last update on 2026-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.