Provider Demographics
NPI:1710967617
Name:VERMA, NARINDER K (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:NARINDER
Middle Name:K
Last Name:VERMA
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 344
Mailing Address - Street 2:
Mailing Address - City:MOUND CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66056-0344
Mailing Address - Country:US
Mailing Address - Phone:913-795-2208
Mailing Address - Fax:913-795-2208
Practice Address - Street 1:513 MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUND CITY
Practice Address - State:KS
Practice Address - Zip Code:66056-4001
Practice Address - Country:US
Practice Address - Phone:913-795-2208
Practice Address - Fax:913-795-2208
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS7210122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS116618OtherBLUE CROSS/BLUE SHIELD
KS1005473Medicaid