Provider Demographics
NPI:1437147337
Name:AMMAL, VEENA V (DDS)
Entity Type:Individual
Prefix:DR
First Name:VEENA
Middle Name:V
Last Name:AMMAL
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 1:694 N GERMANTOWN PKWY
Mailing Address - Street 2:SUITE 50
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-6284
Mailing Address - Country:US
Mailing Address - Phone:901-334-1900
Mailing Address - Fax:901-334-1911
Practice Address - Street 1:694 N GERMANTOWN PKWY
Practice Address - Street 2:SUITE 50
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6284
Practice Address - Country:US
Practice Address - Phone:901-334-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS 00000079871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice