Provider Demographics
NPI:1609436591
Name:ADAM VEITSCHEGGER DDS PLLC
Entity Type:Organization
Organization Name:ADAM VEITSCHEGGER DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VEITSCHEGGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-384-2558
Mailing Address - Street 1:2105 PARK PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-3937
Mailing Address - Country:US
Mailing Address - Phone:615-384-2558
Mailing Address - Fax:615-384-2608
Practice Address - Street 1:2105 PARK PLAZA DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-3937
Practice Address - Country:US
Practice Address - Phone:615-384-2558
Practice Address - Fax:615-384-2608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty