Dr Veran Antonita Fairrow, DDS, MPH is a
Dentist based in Woodlawn, Tennessee. Dr Veran Antonita Fairrow is licensed to practice in Tennessee (license number DS0000005248) and her current practice location is
2245 York Rd, Woodlawn, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(615) 772-3267.
NPI number for Dr Veran Antonita Fairrow is 1386758241 and her current mailing address is 2245 York Rd, Woodlawn, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386758241.
Healthcare Provider's Profile
| Full Name | Dr Veran Antonita Fairrow |
|---|
| Gender | Female |
|---|
| Speciality | Dentist |
|---|
| Location | 2245 York Rd, Woodlawn, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386758241
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Dr Veran Antonita Fairrow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386758241 | NPI | - | NPPES |
| 3202696 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 11218 (Kentucky) | Secondary |
| 122300000X | Dentist | DS0000005248 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Veran Antonita Fairrow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Veran Antonita Fairrow, DDS, MPH
2245 York Rd,
Woodlawn, TN 37191-9159
Ph: (615) 772-3267 | Dr Veran Antonita Fairrow, DDS, MPH
2245 York Rd,
Woodlawn, TN 37191-9159
Ph: (615) 772-3267 |
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