Horizon West Dental
Organization Active NPI Dentist · Crawford, NE
NPI 1821334061 · NPPES record last updated Dec 17, 2012
Key facts
- NPI
- 1821334061
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 6124 (NE)
- Legal business name
- HORIZON WEST DENTAL
- Practice address
- 705 1St St
Box 488
Crawford, NE 69339-1186 - Phone
- (308) 665-2025
- Fax
- (308) 665-1506
- NPI assigned
- Dec 17, 2012
- Organization subpart
- No
Authorized official
- Name
- Justin Moody, DDS
- Title
- Partner
- Phone
- (605) 716-5622
Corporate family (same tax ID) 1
Practitioners 1
-
Justin D. Moody, DDS
National Provider Directory
- Tax ID family
- Horizon West Dental
Locations
705 1st St
#488
Crawford, NE 69339
Phone (308) 665-2025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 6124 | NE | Yes |
Addresses
Primary practice location
705 1St St
Box 488
Crawford, NE 69339-1186
Mailing address
330 E Stumer Rd
Rapid City, SD 57701-6406
Phone (605) 716-5622
Other providers in Crawford, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.