Provider Demographics
NPI:1912027244
Name:JEFFREY F WEST DDS PA
Entity Type:Organization
Organization Name:JEFFREY F WEST DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERIODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:F
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-442-2441
Mailing Address - Street 1:135 S SHARON AMITY RD
Mailing Address - Street 2:SUITE201
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-2842
Mailing Address - Country:US
Mailing Address - Phone:704-442-2441
Mailing Address - Fax:704-442-2477
Practice Address - Street 1:135 S SHARON AMITY RD
Practice Address - Street 2:SUITE201
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2842
Practice Address - Country:US
Practice Address - Phone:704-442-2441
Practice Address - Fax:704-442-2477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC44191223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty