Provider Demographics
NPI:1194813782
Name:WEST END DENTAL ASSOCIATES
Entity type:Organization
Organization Name:WEST END DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:ESH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-595-1100
Mailing Address - Street 1:243 WEST END AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3615
Mailing Address - Country:US
Mailing Address - Phone:212-595-1100
Mailing Address - Fax:212-595-1797
Practice Address - Street 1:243 WEST END AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3615
Practice Address - Country:US
Practice Address - Phone:212-595-1100
Practice Address - Fax:212-595-1797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty