MEDICARE: DANIEL W. WEST, DMD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1336847888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL W. WEST, DMD, PC

Provider Business Mailing Address
First Line	:	597 W 5300 S
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84123-5647
Country	:	US
Telephone Number	:	801-266-3000
Fax Number	:	801-262-6350

Provider Business Practice Location Address
First Line	:	597 W 5300 S
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84123-5647
Country	:	US
Telephone Number	:	801-266-3000
Fax Number	:	801-262-6350

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JESSICA PLUMB
Credential	:
Telephone Number	:	801-266-3000

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	02/22/2023

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