Provider Demographics
NPI:1922138726
Name:VEERANKI, ASHOK N (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:N
Last Name:VEERANKI
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 1:1600 W YOSEMITE AVE
Mailing Address - Street 2:STE#3
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-5188
Mailing Address - Country:US
Mailing Address - Phone:209-823-9371
Mailing Address - Fax:
Practice Address - Street 1:1600 W YOSEMITE AVE
Practice Address - Street 2:STE#3
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95337-5188
Practice Address - Country:US
Practice Address - Phone:209-823-9371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA515261223S0112X
AZ72121223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery