| Modern Dental Professionals Mn Pc | |
|
226 Main St S Chatfield MN 55923-1225 | |
| (507) 867-3550 | |
| Not Available |
| Full Name | Modern Dental Professionals Mn Pc |
|---|---|
| Speciality | Dentist |
| Location | 226 Main St S, Chatfield, Minnesota |
| Authorized Official Name and Position | Jeffrey Moos (CEO) |
| Authorized Official Contact | 7159265050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Professionals Mn Pc 431 Main St N Suite B Chatfield MN 55923-1176 Ph: (507) 867-3550 | Modern Dental Professionals Mn Pc 226 Main St S Chatfield MN 55923-1225 Ph: (507) 867-3550 |
| NPI Number | 1245413921 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 05/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245413921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11386 (Minnesota) | Primary |
Chatfield Dental Clinic, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 Main St N Ste B, Chatfield, MN 55923 Phone: 832-483-6364 |