| Midwest Dental | |
|
1400 Baker Park Rd Suite 1040 Maple Plain MN 55359-9851 | |
| (763) 402-7003 | |
| (763) 447-3208 |
| Full Name | Midwest Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1400 Baker Park Rd, Maple Plain, Minnesota |
| Authorized Official Name and Position | Jeffrey Moos (PC OWNER) |
| Authorized Official Contact | 7159265050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental 1400 Baker Park Rd Suite 1040 Maple Plain MN 55359-9851 Ph: (763) 402-7003 | Midwest Dental 1400 Baker Park Rd Suite 1040 Maple Plain MN 55359-9851 Ph: (763) 402-7003 |
| NPI Number | 1730539362 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730539362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |