OrganizationActive
Dakota Dental
NPI 1992107122 · Dental Clinic/Center · Williston, ND
Provider details
- NPI number
- 1992107122
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Steven Blackhurst, Dentist(701) 577-3333
- License
- 2209 (ND)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2605 19th Ave W
Suite 102
Williston, ND 58801-2892
Phone: (701) 577-3333
Fax: (701) 577-3336
Street-level locationGet directions
Mailing address
2605 19th Ave W
Williston, ND 58801-2892
Other names (DBA / former)
- Doing business as
- Pheasant Run Dental Center
Registry dates
- Enumerated
- 2014-09-18
- Last updated
- 2018-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.