Provider Demographics
NPI:1346552379
Name:TURNER, VERONICA JOLENE (DDS)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:JOLENE
Last Name:TURNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:JOLENE
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3105 MIDDLE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-4472
Mailing Address - Country:US
Mailing Address - Phone:812-379-4321
Mailing Address - Fax:
Practice Address - Street 1:3105 MIDDLE DR
Practice Address - Street 2:SUITE A
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-4472
Practice Address - Country:US
Practice Address - Phone:812-379-4321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-07
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011499A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice