1235558511 NPI number — DANIEL P. WEST, DDS

Table of content: (NPI 1235558511)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235558511 NPI number — DANIEL P. WEST, DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DANIEL P. WEST, DDS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DUMAS FAMILY DENTISTRY
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235558511
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/15/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 740
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DUMAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79029-0740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-935-2725
Provider Business Mailing Address Fax Number:
806-935-2680

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1401 E 1ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUMAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79029-3501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-935-2725
Provider Business Practice Location Address Fax Number:
806-935-2680
Provider Enumeration Date:
04/15/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WEST
Authorized Official First Name:
ANGELA
Authorized Official Middle Name:
H.
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
806-935-2725

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  14377 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)