Provider Demographics
NPI:1437274123
Name:WEST SHORE FAMILY DENTISTRY LTD
Entity Type:Organization
Organization Name:WEST SHORE FAMILY DENTISTRY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:GENSBIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-737-4321
Mailing Address - Street 1:40 N 36TH STREET
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011
Mailing Address - Country:US
Mailing Address - Phone:717-737-4321
Mailing Address - Fax:717-737-4357
Practice Address - Street 1:40 N 36TH STREET
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011
Practice Address - Country:US
Practice Address - Phone:717-737-4321
Practice Address - Fax:717-737-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS015103L1223G0001X
PADS030863L1223G0001X
PADS030347L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty