Provider Demographics
NPI:1841160009
Name:WESTVIEW DENTISTRY
Entity type:Organization
Organization Name:WESTVIEW DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:
Authorized Official - Last Name:LISKA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:763-257-2565
Mailing Address - Street 1:9141 MERRIMAC LN N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-4419
Mailing Address - Country:US
Mailing Address - Phone:763-257-2565
Mailing Address - Fax:
Practice Address - Street 1:1521 NORTHWAY DR STE 105
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1223
Practice Address - Country:US
Practice Address - Phone:320-252-8363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty