OrganizationActive
Modern Dental Professionals
NPI 1730788498 · Dentist · Blaine, MN
Modern Dental Professionals is a Dentist organization in Blaine, MN (NPI 1730788498).
Provider details
- NPI number
- 1730788498
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Brent Althoff, Credentialing Manager(715) 203-4689
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
676 County Road 10 Ne
Blaine, MN 55434-2329
Phone: (763) 780-5007
Street-level locationGet directions
Mailing address
676 County Road 10 Ne
Blaine, MN 55434-2329
Registry dates
- Enumerated
- 2020-10-22
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Frequently asked questions
- What is Modern Dental Professionals's NPI number?
- Modern Dental Professionals's National Provider Identifier (NPI) is 1730788498, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dental Professionals?
- Modern Dental Professionals is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Modern Dental Professionals located?
- Modern Dental Professionals's practice location on file with NPPES is 676 County Road 10 Ne, Blaine, MN 55434-2329.
- What is Modern Dental Professionals's phone number?
- The practice phone number listed in the NPPES registry for Modern Dental Professionals is (763) 780-5007.
- Who is the authorized official for Modern Dental Professionals?
- The authorized official listed on Modern Dental Professionals's NPPES record is Brent Althoff, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dental Professionals's NPI active?
- Yes — Modern Dental Professionals's NPI (1730788498) is active in the NPPES registry as of the last update on 2020-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.