Provider Demographics
NPI:1265188080
Name:WESTWOOD AESTHETIC DENTISTRY
Entity type:Organization
Organization Name:WESTWOOD AESTHETIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROME
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-714-4990
Mailing Address - Street 1:655 R D MIZE RD
Mailing Address - Street 2:
Mailing Address - City:GRAIN VALLEY
Mailing Address - State:MO
Mailing Address - Zip Code:64029-8542
Mailing Address - Country:US
Mailing Address - Phone:816-229-4560
Mailing Address - Fax:
Practice Address - Street 1:4742 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:KS
Practice Address - Zip Code:66205-1835
Practice Address - Country:US
Practice Address - Phone:913-766-1756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty