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Coon Rapids Modern Dentistry, PC

NPI 1295431138ActiveOrganization· Dentist· Coon Rapids, MN

Dentist in Coon Rapids, Minnesota, registered in NPPES in February 2023. The authorized official on file is Parvathi Jithendranathan, Owner.

Overview

NPI1295431138
StatusActive
Entity typeOrganization
NPI issuedFeb 2, 2023
Last updated in NPPESFeb 2, 2023
Certified by providerFeb 2, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist providers in Coon Rapids

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