Provider Demographics
NPI:1316489271
Name:RONALD WEST DMD RENO PC
Entity type:Organization
Organization Name:RONALD WEST DMD RENO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:775-683-9020
Mailing Address - Street 1:465 S MEADOWS PKWY
Mailing Address - Street 2:SUITE 8
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-5945
Mailing Address - Country:US
Mailing Address - Phone:775-683-9020
Mailing Address - Fax:775-683-9023
Practice Address - Street 1:465 S MEADOWS PKWY
Practice Address - Street 2:SUITE 8
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5945
Practice Address - Country:US
Practice Address - Phone:775-683-9020
Practice Address - Fax:775-683-9023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV55741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty