# HORIZON WEST DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821334061
- **Authorized official:** JUSTIN MOODY DDS (PARTNER)
- **Authorized official phone:** (605) 716-5622

## Contact information

- **Practice address:** 705 1ST ST, BOX 488, CRAWFORD, NE 69339-1186
- **Practice address phone:** (308) 665-2025
- **Practice address fax:** (308) 665-1506
- **Mailing address:** 330 E STUMER RD, RAPID CITY, SD 57701-6406
- **Mailing address phone:** (605) 716-5622
- **Mailing address fax:** (605) 348-1626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6124 | NE | Yes |

## Other

- **Enumeration date:** 12/17/2012
- **Last updated:** 12/17/2012