Healthcare Provider Details

I. General information

NPI: 1245542059
Provider Name (Legal Business Name): JOEL PHILLIP VEITSCHEGGER D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2010
Last Update Date: 09/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 OLD FORT PKWY
MURFREESBORO TN
37128
US

IV. Provider business mailing address

2910 OLD FORT PKWY
MURFREESBORO TN
37128-4158
US

V. Phone/Fax

Practice location:
  • Phone: 615-494-5437
  • Fax:
Mailing address:
  • Phone: 615-494-5437
  • Fax: 615-494-4649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number4149
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number9667
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: