Darryl R Veit, DDS
Individual provider Active NPI Dentist · De Forest, WI
NPI 1083754196 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083754196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 1859 (WI)
- Practice address
- 502 Nelson CT
De Forest, WI 53532-1267 - Phone
- (608) 846-3302
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1859 | WI | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darryl R Veit DDS, SC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1859 | WI | Yes |
Addresses
Primary practice location
502 Nelson CT
De Forest, WI 53532-1267
Mailing address
W8849 Dupless Rd
Portage, WI 53901-8930
Phone (608) 745-1753
Other providers in De Forest, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.