DAKOTA DENTAL


Address: 2605 19th Ave W, Suite 102, Williston, ND 58801-2892
Phone: 7015773333

DAKOTA DENTAL (NPI# 1992107122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992107122
Entity Type Organization
Organization Name DAKOTA DENTAL
Other Organization Name PHEASANT RUN DENTAL CENTER
Practice Address 2605 19th Ave W
Suite 102
Williston
ND 58801-2892
Practice Telephone 7015773333
Practice Fax Number 7015773336
Mailing Telephone 7015773333
Mailing Fax Number 7015773336
Enumeration Date 2014-09-18
Last Update Date 2018-06-20
Authorized Official Name DR. STEVEN BLACKHURST (DENTIST)
Authorized Official Telephone 7015773333
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QD0000X Clinic/Center
Specialization: Dental
2209 ND Ambulatory Health Care Facilities
N 261QD0000X Clinic/Center
Specialization: Dental
2208 NC Ambulatory Health Care Facilities
Y 261QD0000X Clinic/Center
Specialization: Dental
2210 ND Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Pheasant Run Dental Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154729457 Dakota Dental Dentist 208 W 37th St, Sioux Falls, SD 57105-5704 2014-12-18

Office Location

Street Address 2605 19TH AVE W
SUITE 102
City WILLISTON
State ND
Zip Code 58801-2892

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952868556 Purpose Driven Interventions Counselor 1502 13th Ave West, Williston, ND 58801 2019-03-01
1437637501 Camille Ann Settelmeyer Nurse Practitioner 1213 15th Avenue West, Williston, ND 58801 2018-08-01
1801317417 Shelby Laine Carlson Physical Therapist 1502 13th Ave W Suite 101, Williston, ND 58801 2017-07-05
1710418579 Catrina Louise Lindvig Chiropractor 1135 2nd Ave W Ste 203, Williston, ND 58801 2017-03-23
1801337415 Selah Counseling Clinic/Center 125 Main St, Suite #220, Williston, ND 58801 2017-03-15
1316485634 Theresa E Scully Social Worker 125 Main St; Unit 220, Williston, ND 58801 2017-02-07
1346792256 Donna Peterson Social Worker 1500 14th St Sw, Suite 250, Williston, ND 58801 2016-10-26
1730509084 Lacey Thompson Case Manager/Care Coordinator 110 West Broadway, Suite 202, Williston, ND 58801 2014-04-24
1770904708 Kayla Jo Rossland Physical Therapist 221 University Ave Ste 203, Williston, ND 58801 2013-12-17
1285072710 Susan Mae Bradford Counselor 612 4th St. E., Williston, ND 58801 2013-06-06
Find all providers in zip 58801

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326515776 Mc Dental Corporation, PC Clinic/Center 708 Main St, Williston, ND 58801-5320 2018-10-24
1407336084 Arie Bauer Dds, PC Clinic/Center 501 Main St, Williston, ND 58801-5327 2018-08-14
1093171977 Greg A. Anderson, Dds,pc Clinic/Center 501 Main St, Suite 4, Williston, ND 58801-5327 2016-01-08
1881933034 Sincere Smiles Clinic/Center 2224 1st Ave W, Williston, ND 58801-6286 2013-02-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215465372 Amundson Dental Associates Clinic/Center 2600 Demers Ave Ste 107, Grand Forks, ND 58201-4100 2017-06-01
1093241846 Serenity Valley Family Dentistry Clinic/Center 3633 Lincoln St S, Suite C, Fargo, ND 58104-7770 2017-05-11
1508249186 Clausnitzer Dentistry, P.C. Clinic/Center 1110 College Dr Ste 108, Bismarck, ND 58501-1207 2015-07-01
1528455813 Concept Dentistry, PC Clinic/Center 5675 26th Ave S, Suite 116, Fargo, ND 58104-8598 2015-04-24
1558754036 Cristopher Turman P.C. Clinic/Center 521 Beaver Ave, Wishek, ND 58495-7033 2015-03-09
1447658950 Heidi Nichols-johnson, Dds Clinic/Center 4900 Ottawa St, Suite 200, Bismarck, ND 58503-6154 2014-12-16
1205234721 Bismarck Family Dental,pc Clinic/Center 115 W Century Ave Ste C, Bismarck, ND 58503-1403 2014-12-16
1902203854 Northcreek Dental, PC Clinic/Center 333 Main Ave S, Hankinson, ND 58041-4100 2014-11-20
1285043802 Lidgerwood Dental Office Clinic/Center 19 Wiley Ave S, Lidgerwood, ND 58053-4001 2014-08-07
1669880845 Lifetime Dental, PC Clinic/Center 321 Briggs Ave S, Suite 3, Park River, ND 58270 2014-07-31
Find all providers with the same taxonomy

Competitor

Search similar providers

City WILLISTON
Zip Code 58801

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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