Provider Demographics
NPI:1548411598
Name:VEATER, RENN D (DMD)
Entity Type:Individual
Prefix:DR
First Name:RENN
Middle Name:D
Last Name:VEATER
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:3540 W 6000 S
Mailing Address - Street 2:#200
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-9071
Mailing Address - Country:US
Mailing Address - Phone:801-217-3359
Mailing Address - Fax:801-217-3950
Practice Address - Street 1:3540 W 6000 S
Practice Address - Street 2:#200
Practice Address - City:ROY
Practice Address - State:UT
Practice Address - Zip Code:84067-9071
Practice Address - Country:US
Practice Address - Phone:801-217-3359
Practice Address - Fax:801-217-3950
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2016-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT6348475-99231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry