# MODERN DENTISTRY OF MINNETONKA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134807878
- **Authorized official:** DR. CHASE JAMES GOTTSCHALK DDS (CO-OWNER/DENTIST)
- **Authorized official phone:** (763) 568-9668

## Contact information

- **Practice address:** 2000 PLYMOUTH RD STE 357, MINNETONKA, MN 55305-2335
- **Practice address phone:** (952) 544-1449
- **Mailing address:** 2000 PLYMOUTH RD STE 357, MINNETONKA, MN 55305-2335
- **Mailing address phone:** (952) 544-1449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2023
- **Last updated:** 07/11/2023