Healthcare Provider Details

I. General information

NPI: 1407492366
Provider Name (Legal Business Name): WEST HILLS DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2019
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 ELK DR STE 2
MINOT ND
58701-1200
US

IV. Provider business mailing address

619 MAIN ST S
MINOT ND
58701-4445
US

V. Phone/Fax

Practice location:
  • Phone: 701-837-1050
  • Fax:
Mailing address:
  • Phone: 701-721-4461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER W NESS
Title or Position: OWNER
Credential: DMD
Phone: 701-721-4461