Provider Demographics
NPI:1295808418
Name:WEST, PRESTON L (DDS)
Entity type:Individual
Prefix:DR
First Name:PRESTON
Middle Name:L
Last Name:WEST
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 FROSTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4131
Mailing Address - Country:US
Mailing Address - Phone:713-467-3889
Mailing Address - Fax:713-467-3931
Practice Address - Street 1:831 FROSTWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4131
Practice Address - Country:US
Practice Address - Phone:713-467-3889
Practice Address - Fax:713-467-3931
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice