West, Jonathan Reagan

West, Jonathan Reagan is an individual health care provider with primary practice located at 1236 Floyd Ave Ste C , Modesto CA 95350-2472. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. West, Jonathan Reagan can be contacted via phone (209) 524-5515.

Contact Information

Primary practice address
1236 Floyd Ave Ste C Modesto CA 95350-2472
Phone: (209) 524-5515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9831 Kentucky

Profile Details

NPI number 1962946004
LBN Legal business name West, Jonathan Reagan
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2016
Last updated Nov 9th, 2019 - about 7 years ago

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.

Request for update

Popular Providers