WEST DENTAL CORPORATION
NPI 1124697990
Clinic/Center - Dental in Modesto, CA

Active since June 24, 2021
1236 FLOYD AVE STE C, MODESTO, CA 95350(209) 524-5515 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST DENTAL CORPORATION (NPI 1124697990) is a healthcare organization registered as a dental in Modesto, California and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Modesto and lists Jeremy Thomas West, President, as its authorized official.

NPPES Registry Identity

NPI1124697990
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWEST DENTAL CORPORATION
Location Address1236 FLOYD AVE STE CModesto, CA 95350-2472
Mailing Address1500 Mchenry AveModesto, CA 95350-4529 · (209) 526-0462 · Fax (209) 526-9223
Organization SubpartNo
Authorized OfficialJeremy Thomas WestPresident · (209) 526-0462
Enumeration DateJune 24, 2021
NPPES CertifiedJune 24, 2021
NPI 1124697990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1236 FLOYD AVE STE C, Modesto, CA 95350

Secondary Practice Location 1

Location 11500 McHenry AveModesto, CA 95350-4529 · Phone (209) 526-0462 · Fax (209) 526-9223

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
1236 FLOYD AVE STE C
MODESTO, CA 95350
Dentist (Orthodontics and Dentofacial Orthopedics)
1236 FLOYD AVE STE C
MODESTO, CA 95350
Dentist
1236 FLOYD AVE STE C
MODESTO, CA 95350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Dental Corporation's NPI number?

The NPI number for West Dental Corporation is 1124697990. It was assigned to this organization in the NPPES registry on June 24, 2021.

Where is West Dental Corporation located?

West Dental Corporation is located at 1236 Floyd Ave Ste C, Modesto, CA 95350. The listed phone number is (209) 524-5515.

What is West Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for West Dental Corporation was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.