Provider Demographics
NPI:1275664641
Name:VEALE, PETER GERARD (DMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:GERARD
Last Name:VEALE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 TURNPIKE ST
Mailing Address - Street 2:SUITE 1-5
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1776
Mailing Address - Country:US
Mailing Address - Phone:508-238-4070
Mailing Address - Fax:508-238-5446
Practice Address - Street 1:448 TURNPIKE ST
Practice Address - Street 2:SUITE 1-5
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1776
Practice Address - Country:US
Practice Address - Phone:508-238-4070
Practice Address - Fax:508-238-5446
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA184561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice