P Praxis·MD
● Active Type 1 · Individual

DR. Daniel Russell West, D.D.S.

Dentist·Tucker, GA· NPI 1538386057 · Enumerated 2007 · 19 years on NPI
West is 1 of 21 dentist providers in Tucker and 1 of 2660 in Georgia.
NPI age
19 years
Enumerated 2007-04-18
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TN, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-02-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
4958 Lavista Rd
Tucker, GA 300844403
📞 7704938500fax 7702701572
Mailing address
4958 Lavista Rd
Tucker, GA 300844403
📞 7704938500fax 7702701572

Additional practice locations

1 secondary location on file with NPPES.

Location 2
655 7th St
Robins Afb, GA 310982227
📞 4783277850

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    TN license #8300 taxonomy 122300000X
  • Dentist
    That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
    GA license #DN013221 taxonomy 1223P0300X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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