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

MARK JOHN MODJEAN, DDS

Active Sole Proprietor

MARK JOHN MODJEAN, DDS is a Dentist healthcare provider located in RICHFIELD, Minnesota. NPI 1275802092 is currently active in the NPPES registry. Verify at CMS.

Dentist · RICHFIELD, MN

Registration Details

NPI Number
1275802092
Provider Type
Individual
Gender
Male
NPI Issued
Dec 22, 2011 (14.639301755281 yrs)
Last Updated
Dec 22, 2011
License
8439 (MN)
Sole Proprietor
Yes

Practice Information

Address
7001 NICOLLET AVE
RICHFIELD, MN, 554233162
Browse MN providers · Browse ZIP 55423
Phone
6128663322
Primary Specialty
Dentist
122300000X

Other Dentist Providers in RICHFIELD, MN

Name Credential NPI
DR. JEFFREY E ONEIL DDS 1578546552
MR. DONALD ALLEN JOHNSON DDS 1700869591
DR. JAMES DAMON MARZELLA DDS 1568431492
DR. MARK MARSHALL PEARCE D.D.S. 1891764635
DR. MELANIE FREDETTE D.M.D. 1841251071
MOHAMMAD HUSSAM ALKILLESLY DDS 1811953300
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.