OrganizationActive
Modern Dental Professionals Minnesota PC
NPI 1730539362 · General Practice Dentistry · Maple Plain, MN
Provider details
- NPI number
- 1730539362
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Moos, PC Owner(715) 926-5050
Specialties & taxonomies
Dental Providers
Practice location
1400 Baker Park Rd
Suite 1040
Maple Plain, MN 55359-9851
Phone: (763) 402-7003
Fax: (763) 447-3208
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Baker Park Rd
Maple Plain, MN 55359-9851
Other names (DBA / former)
- Doing business as
- Midwest Dental
Registry dates
- Enumerated
- 2016-06-14
- Last updated
- 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.