Provider Demographics
NPI:1033747019
Name:VELASQUEZ-PIERCE FAMILY DENTISTRY
Entity Type:Organization
Organization Name:VELASQUEZ-PIERCE FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:XIMENA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELASQUEZ-PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-291-3532
Mailing Address - Street 1:1872 S TAMIAMI TRL STE E
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-3129
Mailing Address - Country:US
Mailing Address - Phone:941-497-4997
Mailing Address - Fax:
Practice Address - Street 1:1872 S TAMIAMI TRL STE E
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-3129
Practice Address - Country:US
Practice Address - Phone:941-497-4997
Practice Address - Fax:941-408-9665
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VELASQUEZ-PIERCE FAMILY DENTISTRY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty