Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972110153 Individual Practitioner Male Practitioner

Stefan Sanders West

Dentist - General Practice • Tupelo, MS

Professional Overview & Biography Verified Profile Summary

Stefan West is a registered healthcare professional specializing in Dentist - General Practice in Tupelo, MS. Practice services are available at 105 PARK GATE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Park Gate Dr

Tupelo, MS 388013010

Telephone 6628447231
Associated Practice Facility / Clinic
🏢 Tupelo Dental Group Facility NPI 1548482862

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tupelo, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
33 Specialists

Practicing in Tupelo, MS (895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-30
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS 4146-20

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1649492125

Doctor of Dental Medicine

NPI 1730301383

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 30, 2020

Registered at 105 PARK GATE DR, TUPELO, MS 388013010 (Tel: 6628447231)

📍
Updated Business Mailing Address September 30, 2020

Registered at 105 PARK GATE DR, TUPELO, MS 388013010

👤
Provider Name / Credentials Updated September 30, 2020

Recorded as STEFAN WEST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2020

Dentist (License #4146-20 in MS)

🟢
Initial NPI Registration & Enumeration September 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972110153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2020
Last Update: September 30, 2020
Sole Proprietor: Yes

Mailing Address

105 Park Gate Dr

Tupelo, MS 388013010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.