MIDWEST DENTAL
NPI 1275716474
Dentist in Albertville, MN

NPI Status: Active since December 11, 2007

Contact Information

6563 LAKETOWNE PL
UNIT A
ALBERTVILLE, MN
ZIP 55301
Phone: (763) 493-3600
Fax: (763) 493-3602

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  • Organization
  • Dentist

About MIDWEST DENTAL

This page provides the complete NPI Profile along with additional information for Midwest Dental, a provider established in Albertville, Minnesota operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1275716474 assigned on December 2007. The practitioner's primary taxonomy code is 122300000X with license number D11386 (MN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Midwest Dental. The authorized official of this NPI record is Dr. Jeffrey William Moos Dds (Ceo)

NPI
1275716474
Provider Legal Name
MODERN DENTAL PROFESSIONALS
Other Organization Name
MIDWEST DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6563 LAKETOWNE PL UNIT A ALBERTVILLE, MN 55301
Location Phone
(763) 493-3600
Location Fax
(763) 493-3602
Mailing Address
6563 LAKETOWNE PL UNIT A ALBERTVILLE, MN 55301
Mailing Phone
(763) 493-3600
Mailing Fax
(763) 493-3602
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2007
Last Update Date
12-11-2007
Code Navigator

A dentist like Midwest Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
D11386
License State
MN
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JEFFREY WILLIAM MOOS DDS

Authorized Official Title
CEO
Authorized Official Phone
(715) 926-5050

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275716474
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214514112414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 4 + 1 + 1 + 2 + 4 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1275716474 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528290673EXCEL DENTISTRY PLLC
Organization
Dentist6563 LAKETOWNE PL STE. A
ALBERTVILLE, MN 55301
(952) 746-3233
1013590389 ABIGAIL ASKEGAARD DDS
Individual
Dentist (General Practice)6563 LAKETOWNE PL
ALBERTVILLE, MN 55301
(763) 515-3615
1386482651DR. NICOLE MARIE PAULEY DDS
Individual
Dentist6563 LAKETOWNE PL
ALBERTVILLE, MN 55301
(763) 515-3615
1386049948WHITE SMILES FAMILY DENTISTRY
Organization
Dentist6563 LAKETOWNE PL A
ALBERTVILLE, MN 55301
(985) 630-2306

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275716474, enumerated in the NPI registry as an "organization" on December 11, 2007

The provider is located at 6563 Laketowne Pl Unit A Albertville, Mn 55301 and the phone number is (763) 493-3600

This medical organization specializes in Dentist with taxonomy code 122300000X

This NPI record was last updated on December 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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