West, Daniel Russell
West, Daniel Russell is an sole proprietor health care provider with primary practice located at 4958 Lavista Rd , Tucker GA 30084-4403. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Dentist is his primary health care specialty. West, Daniel Russell can be contacted via phone (770) 493-8500.Contact Information
Primary practice address
4958 Lavista Rd
Tucker GA 30084-4403
Phone: (770) 493-8500
Fax: (770) 270-1572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8300 | Tennessee |
| Dental Providers / Periodontics | 1223P0300X | DN013221 | Georgia |
Profile Details
| NPI number | 1538386057 |
|---|---|
| LBN Legal business name | West, Daniel Russell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Feb 6th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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