Provider Demographics
NPI:1134796204
Name:GE, VERONICA (DMD)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:
Last Name:GE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 HOLBROOK RD
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-7034
Mailing Address - Country:US
Mailing Address - Phone:617-971-7186
Mailing Address - Fax:
Practice Address - Street 1:7940 WILLIAMS POND LN STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-8413
Practice Address - Country:US
Practice Address - Phone:704-865-6856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC99241223G0001X
NC130231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice