West End Dental Group, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10154 Issued in TX

Legal business name

WEST END DENTAL GROUP, PLLC

Practice address

6830 Phelan Blvd
Beaumont, TX 77706-5970

Phone

(409) 860-9600

Fax

(409) 860-1704

NPI assigned

Oct 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David O Olson, DDS,FICD,FACD

Title

Dentist

Phone

(409) 860-9600

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1801105937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065970",
            "telephone_number": "409-860-9600",
            "fax_number": "409-860-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065970",
            "telephone_number": "409-860-9600",
            "fax_number": "409-860-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "409-860-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,FICD,FACD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21519",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8553",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Wellman, MT. MTI
• Gabriel Wells, BSNUTR
• Joseph M Wempe, M.D.
• Lori Wenner, RNC, IBCLC
• Tyler Denise Wesson, OTR/L
• Kadejha West
• Frances H. Westbrook, N.P.
• Weston Rehabilitation Texas LLC (Emeritus at Dowlen Oaks)
• Liana Elizabeth Wheatley, RN,OCN,CDT
• Marcella Wheeler, CFNP

• General Practice Dentistry in Beaumont, TX
• Providers in Beaumont, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.