Velagapudi, Venkata
Velagapudi, Venkata is an individual health care provider with primary practice located at 54 Hazard Ave Dr .Dental, Enfield CT 06082-3845. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Velagapudi, Venkata can be contacted via phone (972) 974-9926.Contact Information
Primary practice address
54 Hazard Ave Dr .Dental
Enfield CT 06082-3845
Phone: (972) 974-9926
Fax: (860) 745-8804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 011512 | Connecticut |
Profile Details
| NPI number | 1538539960 |
|---|---|
| LBN Legal business name | Velagapudi, Venkata |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2015 |
| Last updated | Apr 28th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538539960 | NPPES |
| Connecticut | Other | 011512 | CONNECTICUT DEPARTMENT OF PUBLIC HEALTH ( DENTAL LICENCE) |
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