Modern Dental Professionals Minnesota PC
Organization Active NPI General Practice Dentistry · Victoria, MN
NPI 1194053173 · NPPES record last updated Dec 2, 2009
Key facts
- NPI
- 1194053173
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- MODERN DENTAL PROFESSIONALS MINNESOTA PC
- Practice address
- 1405 78TH St
Victoria, MN 55386-9723 - Phone
- (952) 443-2994
- Fax
- (952) 443-2918
- NPI assigned
- Dec 2, 2009
- Organization subpart
- No
Authorized official
- Name
- James Myer
- Title
- Cfo
- Phone
- (715) 926-5050
Corporate family (same tax ID) 38
National Provider Directory
- Tax ID family
- Midwest Dental
Locations
1405 78th St
Victoria, MN 55386
Phone (952) 443-0015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1405 78TH St
Victoria, MN 55386-9723
Mailing address
1405 78TH St
Victoria, MN 55386-9723
Phone (952) 443-2994
Other names
- Midwest Dental
Other providers in Victoria, MN
- Linda Louise McKoskey
- Noah James Meffert
- Haley Denise Meyer
- Michele Milburn
- Oscar Millerhaller
- Emily Ann Morisset
- Mount Olivet Rolling Acres, Inc
- Kalli Lynn Nielsen
- Okerlund Chiropractic
- Tyler James Okerlund
All providers in Victoria, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.