Provider Demographics
NPI:1104622034
Name:VHM DENTAL LLC/DBA PROSMILE PV
Entity type:Organization
Organization Name:VHM DENTAL LLC/DBA PROSMILE PV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR./OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMOGH
Authorized Official - Middle Name:
Authorized Official - Last Name:VELANGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-494-3850
Mailing Address - Street 1:11220 N TATUM BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-1629
Mailing Address - Country:US
Mailing Address - Phone:480-878-0318
Mailing Address - Fax:
Practice Address - Street 1:11220 N TATUM BLVD STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-1629
Practice Address - Country:US
Practice Address - Phone:480-878-0318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty