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
Specialties & taxonomies
Dental Providers
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.
Practice location
24 S Olive St
Waconia, MN 55387-1404
Phone: (952) 442-2518
Fax: (952) 442-5040
Street-level locationGet directions
Mailing address
24 S Olive St
Waconia, MN 55387-1404
Other names (DBA / former)
- Doing business as
- Midwest Dental - Waconia
Registry dates
- 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.