Provider Demographics
NPI:1811194236
Name:VEIT, ADAM J
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:J
Last Name:VEIT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 557 BOX 3223
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96379
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CAMP FOSTER
Practice Address - Street 2:BUILDING # 449
Practice Address - City:OKINAWA
Practice Address - State:OKINAWA
Practice Address - Zip Code:96379
Practice Address - Country:JP
Practice Address - Phone:645-7381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12427122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist