Provider Demographics
NPI:1225195837
Name:VEIRE, ANGELA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:M
Last Name:VEIRE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 JOHN MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-2509
Mailing Address - Country:US
Mailing Address - Phone:763-585-8700
Mailing Address - Fax:763-585-8704
Practice Address - Street 1:5901 JOHN MARTIN DR
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-2509
Practice Address - Country:US
Practice Address - Phone:763-585-8700
Practice Address - Fax:763-585-8704
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12166122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist