Veeranna, Santhosh L

Veeranna, Santhosh L is an sole proprietor health care provider with primary practice located at 21 Bay State Rd , Chicopee MA 01020-1521. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Veeranna, Santhosh L can be contacted via phone (413) 437-8300.

Contact Information

Primary practice address
21 Bay State Rd Chicopee MA 01020-1521
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN21343 Massachusetts

Profile Details

NPI number 1265589519
LBN Legal business name Veeranna, Santhosh L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Dec 10th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265589519 NPPES
New Hampshire MEDICAID 30303580
New Hampshire MEDICAID 0209465

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