Provider Demographics
NPI:1184182503
Name:RONALD WEST DMD PC
Entity Type:Organization
Organization Name:RONALD WEST DMD PC
Other - Org Name:CARSON DENTAL DESIGNS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-882-4122
Mailing Address - Street 1:412 W JOHN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-8829
Mailing Address - Country:US
Mailing Address - Phone:775-882-4122
Mailing Address - Fax:775-882-6800
Practice Address - Street 1:412 W JOHN ST STE 100
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-8829
Practice Address - Country:US
Practice Address - Phone:775-882-4122
Practice Address - Fax:775-882-6800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty