Tom Serafica Veloria, D.M.D.
Individual provider Active NPI General Practice Dentistry · Tamuning, GU
NPI 1821329285 · NPPES record last updated Jan 26, 2010
Key facts
- NPI
- 1821329285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D00140 (GU)
- Practice address
- 415 Chalan San Antonio
Suite 303
Tamuning, GU 96913-3620 - Phone
- (671) 646-5146
- Fax
- (671) 646-8690
- NPI assigned
- Jan 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| D00140 | GU | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D00140 | GU | Yes |
Addresses
Primary practice location
415 Chalan San Antonio
Suite 303
Tamuning, GU 96913-3620
Mailing address
415 Chalan San Antonio
Suite 303
Tamuning, GU 96913-3620
Phone (671) 646-5146
Other providers in Tamuning, GU
- Steven Andrew Tull
- Tumon Medical Office
- Helene Duenas Tuncap
- Michael Um
- Leonora G Urbano
- Stephanie Velsmid
- Betty Jo Vercio
- William P. Vercio
- Vik Management, Inc
- Vik Management, Inc
All providers in Tamuning, GU · General Practice Dentistry in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2010. 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.