W H Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

W H DENTAL, PLLC

Doing business as

Versa Dental Care

Practice address

17610 19TH Ave N
Suite 8
Plymouth, MN 55447-2600

Phone

(763) 475-2000

Fax

(763) 475-2001

NPI assigned

Jan 22, 2012

Last updated

Jan 22, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nicholas Michael Weinand, D.D.S.

Title

Dentist, Co-Owner

Phone

(763) 475-2000

Specialties & licenses 1

Addresses

Other names 1

• Versa Dental Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327190400000",
    "number": "1669743738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17610 19TH AVE N",
            "address_2": "SUITE 8",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554472600",
            "telephone_number": "763-475-2000",
            "fax_number": "763-475-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17610 19TH AVE N",
            "address_2": "SUITE 8",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554472600",
            "telephone_number": "763-475-2000",
            "fax_number": "763-475-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W H DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-22",
        "last_updated": "2012-01-22",
        "status": "A",
        "authorized_official_last_name": "WEINAND",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST, CO-OWNER",
        "authorized_official_telephone_number": "763-475-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Versa Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Plymouth, MN
• Providers in Plymouth, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.