Organization
GEOFFREY B. WEST, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY B WEST DDS (OWNER DENTIST)
(870) 423-6963
Entity
Organization
Contact information
Practice address
201 RICE ST, BERRYVILLE, AR 72616-4388
(870) 423-6963
(870) 423-2109
Mailing address
201 RICE ST, BERRYVILLE, AR 72616-4388
(870) 423-6963
(870) 423-2109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4044
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210626608
—
AR
Enumeration date
12/06/2016
Last updated
12/06/2016
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