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General NPI Number Information
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NPI Number | 1295887081
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Entity Type | Individual
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Provider Name | DONALD C. WEST D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 220 SHOSHONE AVE
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City | GREEN RIVER
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State | WY
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Zip | 82935-5468
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Country | US
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Telephone | 307-875-3582
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Fax | 307-875-3581
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Provider Business Mailing Address
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Address Line | PO BOX 396
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City | GREEN RIVER
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State | WY
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Zip | 82935-0396
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Country | US
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Telephone | 307-875-3582
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Fax | 307-875-3581
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 781
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License Number State | WY
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