Healthcare Provider Details

I. General information

NPI: 1679785216
Provider Name (Legal Business Name): VEURINK DENTISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 S ROWLEY ST
MITCHELL SD
57301-4441
US

IV. Provider business mailing address

916 S ROWLEY ST
MITCHELL SD
57301-4441
US

V. Phone/Fax

Practice location:
  • Phone: 605-996-1223
  • Fax: 605-996-1670
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberM535
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier7803030
Identifier TypeMEDICAID
Identifier StateSD
Identifier Issuer

VIII. Authorized Official

Name: DR. JENNIFER VEURINK
Title or Position: OWNER
Credential:
Phone: 605-996-1223