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NPI Code Detail

MEDICARE: DR. VENKAT VEERISETTY DMD

MEDICARE:  DR. VENKAT  VEERISETTY  DMD
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
11223G0001XGeneral Practice Dentistry17377TX

General Provider Information

NPI Number : 1972611705
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VENKAT VEERISETTY DMD
Provider Business Mailing Address
First Line : 906 WAYSIDE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77011-2518
Country : US
Telephone Number : 713-923-2506
Fax Number : 713-923-1943
Provider Business Practice Location Address
First Line : 906 WAYSIDE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77011-2518
Country : US
Telephone Number : 713-923-2506
Fax Number : 713-923-1943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 07/08/2007

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Directions to “ DR. VENKAT VEERISETTY DMD” Practice Location

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