| Mandeep Vermani Dds Pllc | |
|
1911 W Main St Ste 6 Mesa AZ 85201-6929 | |
| (623) 428-9949 | |
| (623) 428-9962 |
| Full Name | Mandeep Vermani Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1911 W Main St Ste 6, Mesa, Arizona |
| Authorized Official Name and Position | Mandeep Vermani (OWNER/MEMBER) |
| Authorized Official Contact | 6234289949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandeep Vermani Dds Pllc Po Box 22270 Phoenix AZ 85028-0270 Ph: (623) 428-9949 | Mandeep Vermani Dds Pllc 1911 W Main St Ste 6 Mesa AZ 85201-6929 Ph: (623) 428-9949 |
| NPI Number | 1235418161 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 05/03/2019 |
| Medicare PECOS PAC ID | 3274705298 |
|---|---|
| Medicare Enrollment ID | O20111017000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235418161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D06920 (Arizona) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Mandeep Vermani |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1295898054 PECOS PAC ID: 6901949569 Enrollment ID: I20100204000103 |
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