OrganizationActive
Modern Dental Professionals Mn PC
NPI 1215307061 · General Practice Dentistry · Big Lake, MN
Modern Dental Professionals Mn PC is a General Practice Dentistry organization in Big Lake, MN (NPI 1215307061).
Provider details
- NPI number
- 1215307061
- 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
195 Jefferson Blvd
Big Lake, MN 55309-9572
Phone: (763) 280-5711
Fax: (763) 263-5822
Street-level locationGet directions
Mailing address
195 Jefferson Blvd
Big Lake, MN 55309-9572
Other names (DBA / former)
- Doing business as
- Midwest Dental
Registry dates
- Enumerated
- 2015-10-05
- Last updated
- 2015-10-05
Frequently asked questions
- What is Modern Dental Professionals Mn PC's NPI number?
- Modern Dental Professionals Mn PC's National Provider Identifier (NPI) is 1215307061, 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 General Practice Dentistry (Dental Providers).
- Where is Modern Dental Professionals Mn PC located?
- Modern Dental Professionals Mn PC's practice location on file with NPPES is 195 Jefferson Blvd, Big Lake, MN 55309-9572.
- 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 (763) 280-5711.
- 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, Owner. 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 (1215307061) is active in the NPPES registry as of the last update on 2015-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.