Provider Demographics
NPI:1497891774
Name:VELPEL, GEOFFREY F (DDS)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:F
Last Name:VELPEL
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 1:11319 KINGS XING
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1452
Mailing Address - Country:US
Mailing Address - Phone:260-602-5996
Mailing Address - Fax:260-338-2126
Practice Address - Street 1:9925 COLDWATER ROAD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-2037
Practice Address - Country:US
Practice Address - Phone:260-489-8435
Practice Address - Fax:260-489-8535
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN86241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice