What is Modern Dental Professionals Mn PC's NPI number?

Modern Dental Professionals Mn PC's National Provider Identifier (NPI) is 1679866735, 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 24 S Olive St, Waconia, MN 55387-1404.

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 (952) 442-2518.

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, President - 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 (1679866735) is active in the NPPES registry as of the last update on 2011-05-24.

OrganizationActive

Modern Dental Professionals Mn PC

NPI 1679866735 · General Practice Dentistry · Waconia, MN

Modern Dental Professionals Mn PC is a General Practice Dentistry organization in Waconia, MN (NPI 1679866735).

Provider details

NPI number: 1679866735
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Jeffrey Moos, President - Ceo(715) 926-5050

Practice location

24 S Olive St

Waconia, MN 55387-1404

Phone: (952) 442-2518

Fax: (952) 442-5040

Street-level locationGet directions

More MN providers

Mailing address

24 S Olive St

Waconia, MN 55387-1404

Specialties & taxonomies

General Practice DentistryPrimary1223G0001X
Dental Providers

Other names (DBA / former)

Doing business as: Midwest Dental - Waconia

Profile Score

Detailed profile(82/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 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.

Enumerated: 2011-05-24
Last updated: 2011-05-24

Frequently asked questions

What is Modern Dental Professionals Mn PC's NPI number?: Modern Dental Professionals Mn PC's National Provider Identifier (NPI) is 1679866735, 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 24 S Olive St, Waconia, MN 55387-1404.
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 (952) 442-2518.
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, President - 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 (1679866735) is active in the NPPES registry as of the last update on 2011-05-24.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions