DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MODERN DENTAL PROFESSIONALS, MN PC

Active Organization

MODERN DENTAL PROFESSIONALS, MN PC is a Dentist organization located in LEWISTON, Minnesota. NPI 1073796744 is currently active in the NPPES registry. Verify at CMS.

Dentist · LEWISTON, MN

Registration Details

NPI Number
1073796744
Provider Type
Organization
NPI Issued
Dec 17, 2007 (18.656791914315 yrs)
Last Updated
Dec 17, 2007
License
D11386 (MN)

Practice Information

Address
560 DEBRA DR
LEWISTON, MN, 559522104
Browse MN providers · Browse ZIP 55952
Phone
5075232267
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.