Provider Demographics
NPI:1184948994
Name:VERMA COSMETIC & FAMILY DENTISTRY
Entity type:Organization
Organization Name:VERMA COSMETIC & FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEEPALI
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-261-3030
Mailing Address - Street 1:702 W CENTERVILLE RD # 100
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-5801
Mailing Address - Country:US
Mailing Address - Phone:972-279-9494
Mailing Address - Fax:972-270-9126
Practice Address - Street 1:702 W CENTERVILLE RD # 100
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-5801
Practice Address - Country:US
Practice Address - Phone:972-279-9494
Practice Address - Fax:972-270-9126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO95651223G0001X
333300000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No333300000XSuppliersEmergency Response System Companies