Provider Demographics
NPI:1336847888
Name:DANIEL W. WEST, DMD, PC
Entity Type:Organization
Organization Name:DANIEL W. WEST, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-266-3000
Mailing Address - Street 1:597 W 5300 S
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-5647
Mailing Address - Country:US
Mailing Address - Phone:801-266-3000
Mailing Address - Fax:801-262-6350
Practice Address - Street 1:597 W 5300 S
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-5647
Practice Address - Country:US
Practice Address - Phone:801-266-3000
Practice Address - Fax:801-262-6350
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DANIEL W. WEST, DMD, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty