Supreeth L Veeranna
Dentist, Pediatric Dentistry in Chicopee, Massachusetts
1164471363- Practice location
- 74 Elmcrest Dr, Chicopee, MA 01013-3339
- Phone
- 617-275-3216
- Fax
- 617-275-3216
- Last updated
- May 31, 2013
Supreeth L Veeranna is a Dentist, Pediatric Dentistry based in Chicopee, MA. Supreeth L Veeranna practices in Chicopee, MA. The NPI Number for Supreeth L Veeranna is 1164471363 and holds a License No. 30-022310 (OH). The current practice location address for Supreeth L Veeranna is 74 Elmcrest Dr, Chicopee, MA 01013-3339 and can be reached out via phone at 617-275-3216 and via fax at 617-275-3216.
Provider Profile Details
- NPI Number
- 1164471363
- Provider Name
- Supreeth L Veeranna
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 74 Elmcrest Dr, Chicopee, MA 01013-3339
- Phone Number
- 617-275-3216
- Fax Number
- 617-275-3216
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 8, 2006
- Last Update Date
- May 31, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 74 Elmcrest Dr
Chicopee, MA 01013-3339 - City
- Chicopee
- State
- Massachusetts
- Zip
- 01013-3339
- Phone Number
- 617-275-3216
- Fax Number
- 617-275-3216
Provider Business Mailing Address Details
- Address
- 74 Elmcrest Dr
Chicopee, MA 01013-3339 - City
- Chicopee
- State
- MA
- Zip
- 01013-3339
- Phone Number
- 617-275-3216
- Fax Number
- 617-275-3216
License Information
- License Number (1)
- 30-022310
- License State (1)
- OH
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- DN21274
- License State (2)
- MA
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
- License Number (3)
- 10818
- License State (3)
- CT
- Taxonomy (3)
- Dentist, Pediatric Dentistry · 1223P0221X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Chicopee, MA
View all Dentist, Pediatric Dentistry providers in Chicopee →Frequently Asked Questions
What is the NPI number of Supreeth L Veeranna?
The NPI number of Supreeth L Veeranna is 1164471363. It was assigned on May 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Supreeth L Veeranna?
Supreeth L Veeranna is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in OH under license number 30-022310.
Where does Supreeth L Veeranna practice?
The practice location is 74 Elmcrest Dr, Chicopee, MA 01013-3339. The office can be reached at 617-275-3216 (phone) or 617-275-3216 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164471363 directly on the NPPES registry website.