WEST SIDE DENTAL CLINIC
NPI 1417007436
Clinic/Center - Dental in Saint Paul, MN

Active since January 11, 2007
478 ROBERT ST S, SAINT PAUL, MN 55107(651) 602-7575(651) 602-7518 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Side Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST SIDE DENTAL CLINIC (NPI 1417007436) is a healthcare organization registered as a dental in Saint Paul, Minnesota and active in the NPI registry since January 2007. The organization lists Reuben Moore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417007436
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWEST SIDE COMMUNITY HEALTH SERVICES, INC.
Location Address478 ROBERT ST SSaint Paul, MN 55107-2236
Mailing Address153 Cesar Chavez StSaint Paul, MN 55107-2226 · (651) 602-7500 · Fax (651) 602-7500
Fax(651) 602-7518
Organization SubpartNo
Authorized OfficialReuben MooreCeo · (651) 602-7500
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMay 15, 2024
NPPES CertifiedMay 15, 2024
NPI 1417007436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MN · 302133
478 ROBERT ST S, Saint Paul, MN 55107

Other Names 1

Doing Business AsWest Side Dental Clinic

Other Identifiers 1

Medicaid250711100MN

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
478 ROBERT ST S
SAINT PAUL, MN 55107
Dental Hygienist
478 ROBERT ST S
SAINT PAUL, MN 55107
Dental Hygienist
478 ROBERT ST S
SAINT PAUL, MN 55107
Dentist
478 ROBERT ST S
SAINT PAUL, MN 55107
Dental Hygienist
478 ROBERT ST S
SAINT PAUL, MN 55107
Dental Hygienist
478 ROBERT ST S
SAINT PAUL, MN 55107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Side Community Health Services, Inc.'s NPI number?

The NPI number for West Side Community Health Services, Inc. is 1417007436. It was assigned to this organization in the NPPES registry on January 11, 2007. The provider is doing business as West Side Dental Clinic.

Where is West Side Community Health Services, Inc. located?

West Side Community Health Services, Inc. is located at 478 Robert St S, Saint Paul, MN 55107. The listed phone number is (651) 602-7575.

What is West Side Community Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does West Side Community Health Services, Inc. accept?

Health plans from UnitedHealthcare list West Side Community Health Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for West Side Community Health Services, Inc. was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.