MIDWEST DENTAL - WACONIA
NPI 1679866735
Dentist - General Practice in Waconia, MN

NPI Status: Active since May 24, 2011

Contact Information

24 S OLIVE ST
WACONIA, MN
ZIP 55387
Phone: (952) 442-2518
Fax: (952) 442-5040

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About MIDWEST DENTAL - WACONIA

This page provides the complete NPI Profile along with additional information for Midwest Dental - Waconia, a provider established in Waconia, Minnesota operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1679866735 assigned on May 2011. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 14 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 - Waconia. The authorized official of this NPI record is Dr. Jeffrey W Moos Dds (President - Ceo)

NPI
1679866735
Provider Legal Name
MODERN DENTAL PROFESSIONALS MN PC
Other Organization Name
MIDWEST DENTAL - WACONIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
24 S OLIVE ST WACONIA, MN 55387
Location Phone
(952) 442-2518
Location Fax
(952) 442-5040
Mailing Address
24 S OLIVE ST WACONIA, MN 55387
Mailing Phone
(952) 442-2518
Mailing Fax
(952) 442-5040
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2011
Last Update Date
05-24-2011
Code Navigator

A dentist like Midwest Dental - Waconia 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.

Location Map

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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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 W MOOS DDS

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

Reviews for MIDWEST DENTAL - WACONIA

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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.
1679866735
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491661276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 6 + 6 + 1 + 2 + 7 + 6 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1679866735 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114141595DR. MARK F BRADSHAW DDS
Individual
Dentist24 S OLIVE ST
WACONIA, MN 55387
(952) 442-2518

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679866735, enumerated in the NPI registry as an "organization" on May 24, 2011

The provider is located at 24 S Olive St Waconia, Mn 55387 and the phone number is (952) 442-2518

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 24, 2011. 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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