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PHEASANT RUN DENTAL CENTER
NPI 1992107122
Clinic/Center - Dental in Williston, ND

Active since September 18, 2014
2605 19TH AVE W, SUITE 102, WILLISTON, ND 58801(701) 577-3333(701) 577-3336 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pheasant Run Dental Center NPPES

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

PHEASANT RUN DENTAL CENTER (NPI 1992107122) is a healthcare organization registered as a dental in Williston, North Dakota and active in the NPI registry since September 2014. The organization lists Steven Blackhurst, Dentist, as its authorized official.

NPPES Registry Identity

NPI1992107122
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDAKOTA DENTAL
Location Address2605 19TH AVE W, SUITE 102Williston, ND 58801-2892
Mailing Address2605 19th Ave W, Suite 102Williston, ND 58801-2892 · (701) 577-3333 · Fax (701) 577-3336
Phone(701) 577-3333
Fax(701) 577-3336
Organization SubpartNo
Authorized OfficialSteven BlackhurstDentist · (701) 577-3333
Enumeration DateSeptember 18, 2014
Last NPPES UpdateJune 20, 2018
✔ NPI 1992107122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses✔ Licensed in ND · 2210✔ Licensed in ND · 2209✔ Licensed in NC · 2208
2605 19TH AVE W, Williston, ND 58801
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Other Names 1

Doing Business AsPheasant Run Dental Center

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 Dakota Dental's NPI number?

The NPI number for Dakota Dental is 1992107122. It was assigned to this organization in the NPPES registry on September 18, 2014. The provider is doing business as Pheasant Run Dental Center.

Where is Dakota Dental located?

Dakota Dental is located at 2605 19th Ave W Suite 102, Williston, ND 58801. The listed phone number is (701) 577-3333.

What is Dakota Dental's specialty?

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

When was this NPI record last updated?

The NPPES record for Dakota Dental was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.