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Modern Dental Professionals Mn PC

NPI 1881877553ActiveOrganization· Dentist· Maplewood, MN

Dentist in Maplewood, Minnesota, registered in NPPES in December 2007. The authorized official on file is Jeffrey W. Moos, DDS, Ceo.

Overview

NPI1881877553
StatusActive
Entity typeOrganization
NPI issuedDec 17, 2007
Last updated in NPPESDec 17, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XD11386MN

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 Maplewood

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