MEDICARE: DR. GERARD ANTHONY VELTRI D.D.S.

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	1223G0001X	General Practice Dentistry	2829	WV

General Provider Information

NPI Number	:	1255336095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERARD ANTHONY VELTRI D.D.S.

Provider Business Mailing Address
First Line	:	222 COURT ST
Second Line	:
City	:	CLARKSBURG
State	:	WV
Zip	:	26301-2906
Country	:	US
Telephone Number	:	304-622-8001
Fax Number	:	304-622-0619

Provider Business Practice Location Address
First Line	:	222 COURT ST
Second Line	:
City	:	CLARKSBURG
State	:	WV
Zip	:	26301-2906
Country	:	US
Telephone Number	:	304-622-8001
Fax Number	:	304-622-0619

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	12/09/2020

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