Provider Demographics
NPI:1497984157
Name:VERMA, SACHIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SACHIN
Middle Name:
Last Name:VERMA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 S PLUM GROVE RD
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-7256
Mailing Address - Country:US
Mailing Address - Phone:224-800-1432
Mailing Address - Fax:
Practice Address - Street 1:825 PLAINFIELD RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-5900
Practice Address - Country:US
Practice Address - Phone:224-800-1432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019028017122300000X
IL137000782122300000X
WI6604-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist