NPI 1013355643
Grayson T West, DDS
Practice location
- Address
- 2459 15th St NW STE. C, New Brighton, MN 55112-5594
- Phone
- (651) 631-3100
- Fax
- (651) 631-1728
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1013355643
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jun 2013
- Record last updated
- 17 Nov 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.