MEDICARE: ASHOK N VEERANKI DDS INC A PROFESSIONAL DENTAL COORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number	:	1962353771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHOK N VEERANKI DDS INC A PROFESSIONAL DENTAL COORPORATION

Provider Business Mailing Address
First Line	:	4939 HILLSDALE CIR
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-5737
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4939 HILLSDALE CIR
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-5737
Country	:	US
Telephone Number	:	402-805-4516
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	JENN HERITAGE
Credential	:
Telephone Number	:	402-805-4516

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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