MEDICARE: TUREK & VASAMSETTI PLLC

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

General Provider Information

NPI Number	:	1629532882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUREK & VASAMSETTI PLLC

Provider Business Mailing Address
First Line	:	7841 ALEXANDER PROMENADE PL STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-1914
Country	:	US
Telephone Number	:	919-354-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2106 WERRINGTON DR
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-3330
Country	:	US
Telephone Number	:	919-354-5400
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PRASAD VASAMSETTI
Credential	:	DMD
Telephone Number	:	601-918-6829

Provider Enumeration Date	:	01/22/2019
Last Update Date	:	01/22/2019

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