Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

West Side Community Health Services, Inc

Organization Dental Clinic/Center · NPI 1417007436

West Side Community Health Services, Inc is a Dental Clinic/Center in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

478 Robert St S
Saint Paul, MN 55107-2236
Phone: (651) 602-7575
Fax: (651) 602-7518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 302133 (MN)

Record details

NPI number1417007436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reuben Moore — Ceo · (651) 602-7500
Other names West Side Dental Clinic
NPI enumeratedJanuary 11, 2007
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024
Mailing address153 Cesar Chavez St, Saint Paul, MN 55107-2226

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