Provider Demographics
NPI:1295937977
Name:WESTMOUNT DENTAL ARTS
Entity type:Organization
Organization Name:WESTMOUNT DENTAL ARTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:B
Authorized Official - Last Name:LAMARTINA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:573-760-0440
Mailing Address - Street 1:1273 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63640-2947
Mailing Address - Country:US
Mailing Address - Phone:573-760-0440
Mailing Address - Fax:
Practice Address - Street 1:1273 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640-2947
Practice Address - Country:US
Practice Address - Phone:573-760-0440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO015829261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental