Provider Demographics
NPI:1386956431
Name:WESTVIEW DENTAL CARE
Entity type:Organization
Organization Name:WESTVIEW DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BAUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:651-480-8000
Mailing Address - Street 1:1355 S FRONTAGE RD
Mailing Address - Street 2:STE 330
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-2482
Mailing Address - Country:US
Mailing Address - Phone:651-480-8010
Mailing Address - Fax:
Practice Address - Street 1:1355 S FRONTAGE RD
Practice Address - Street 2:STE 330
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-2482
Practice Address - Country:US
Practice Address - Phone:651-480-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND10988122300000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty