Provider Demographics
NPI:1942975776
Name:O'BRIEN AND WEST DMD, XI, PLLC
Entity Type:Organization
Organization Name:O'BRIEN AND WEST DMD, XI, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-834-4932
Mailing Address - Street 1:532 N ELAM AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1156
Mailing Address - Country:US
Mailing Address - Phone:336-645-5770
Mailing Address - Fax:336-645-5771
Practice Address - Street 1:532 N ELAM AVE STE B
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1156
Practice Address - Country:US
Practice Address - Phone:336-645-5770
Practice Address - Fax:336-645-5771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty