Provider Demographics
NPI:1083113948
Name:DEEPIKA VERMA DMD PLLC
Entity Type:Organization
Organization Name:DEEPIKA VERMA DMD PLLC
Other - Org Name:TRIANGLE PARK DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEEPIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:515-664-3234
Mailing Address - Street 1:2003 E NC HIGHWAY 54 STE A
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2483
Mailing Address - Country:US
Mailing Address - Phone:515-664-3234
Mailing Address - Fax:
Practice Address - Street 1:2003 E NC HIGHWAY 54 STE A
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2483
Practice Address - Country:US
Practice Address - Phone:515-664-3234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC107631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty