Veena V Ammal, DDS
Individual provider Active NPI General Practice Dentistry · Cordova, TN
NPI 1437147337 · NPPES record last updated May 24, 2016
Key facts
- NPI
- 1437147337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS 0000007987 (TN)
- Practice address
- 694 N Germantown Pkwy
Suite 50
Cordova, TN 38018-6284 - Phone
- (901) 334-1900
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170111001754 | TN | Practitioner - Oral Surgery | 4082994751 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS 0000007987 | TN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS 0000007987 | TN | Yes |
Addresses
Primary practice location
694 N Germantown Pkwy
Suite 50
Cordova, TN 38018-6284
Mailing address
694 N Germantown Pkwy
Suite 50
Cordova, TN 38018-6284
Phone (901) 334-1900
Other providers in Cordova, TN
- Stephen Craig Alsobrook
- Jamesa Yvette Alston
- Amazing Hearts Home Care
- American Family Dentistry of Memphis, PC
- American Medical Associates LLC
- Anchored in Healing Counseling and Coaching
- Christopher J Andershock
- Jessica Anderson
- Martha Anderson
- Margaret Rose Anello Tom
All providers in Cordova, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.