Modern Dental Professionals, Mn PC
NPI 1558643817ActiveOrganization· Dentist· Saint Cloud, MN
Dentist in Saint Cloud, Minnesota, registered in NPPES in September 2011. The authorized official on file is James Myer, Cfo.
Overview
| NPI | 1558643817 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2011 |
| Last updated in NPPES | Sep 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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