Mark John Modjean, DDS

Dentist · Richfield, MN

Individual Active NPI

NPI number 1275802092

Practice location

7001 Nicollet Ave
Richfield, MN 55423-3162
Phone
(612) 866-3322

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NPI record

NPI
1275802092
Entity type
Individual (Type 1)
Enumeration date
December 22, 2011
Last updated
December 22, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 8439 MN

About Dr. Modjean

Mark John Modjean, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 7001 Nicollet Ave, Richfield, MN 55423-3162. The NPI number 1275802092 was assigned on December 22, 2011 and the record was last updated on December 22, 2011.

Dr. Modjean lists a license in the registry: #8439 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark John Modjean, DDS?

The NPI number is 1275802092.

What is the phone number of Dr. Modjean?

The phone number listed for the practice location is (612) 866-3322.

Where is Dr. Modjean located?

7001 Nicollet Ave, Richfield, MN 55423-3162.

What is the taxonomy code for Dr. Modjean?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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