Brian Dean Westfall, DDS
Individual provider Active NPI General Practice Dentistry · Lorena, TX
NPI 1831204205 · NPPES record last updated Aug 8, 2012
Key facts
- NPI
- 1831204205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 19417 (TX)
- Practice address
- 605 Gibraltar LN
Lorena, TX 76655-4060 - Phone
- (254) 857-3702
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19417 | TX | MD | General Practice Dentistry |
| 5515 | OK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19417 | TX | Yes |
Addresses
Primary practice location
605 Gibraltar LN
Lorena, TX 76655-4060
Mailing address
605 Gibraltar LN
Lorena, TX 76655-4060
Phone (254) 857-3702
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092957202 | Medicaid | TX |
Other providers in Lorena, TX
- Jenniffer Tacker
- Lisa Lyn Thompson
- Brian Tigelaar
- Unkee Monkee Enterprises LLC
- Elyse Anne Vaughn
- Jennifer Wilfong
- Beverly Wollitz
- Workers Injury Management and Evaluation Services, P.a.
All providers in Lorena, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.