Provider Demographics
NPI:1184283269
Name:WESTOVER FAMILY DENTISTRY PC
Entity type:Organization
Organization Name:WESTOVER FAMILY DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTOVER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-698-3384
Mailing Address - Street 1:11 MEADOW BRANCH AVE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6255
Mailing Address - Country:US
Mailing Address - Phone:540-698-3384
Mailing Address - Fax:540-737-0060
Practice Address - Street 1:11 MEADOW BRANCH AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6255
Practice Address - Country:US
Practice Address - Phone:540-698-3384
Practice Address - Fax:540-737-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-11
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty