Provider Demographics
NPI:1720204100
Name:WESTWOOD DENTAL, P.C.
Entity Type:Organization
Organization Name:WESTWOOD DENTAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:EIGHMEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-242-8230
Mailing Address - Street 1:709 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-1857
Mailing Address - Country:US
Mailing Address - Phone:734-242-8230
Mailing Address - Fax:734-242-8237
Practice Address - Street 1:709 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-1857
Practice Address - Country:US
Practice Address - Phone:734-242-8230
Practice Address - Fax:734-242-8237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty