Provider Demographics
NPI:1306583562
Name:VEYTSMAN, ALLISON WINDISCH (DDS)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:WINDISCH
Last Name:VEYTSMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 E JOHN CARPENTER FWY STE 2700
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-2881
Mailing Address - Country:US
Mailing Address - Phone:972-255-3712
Mailing Address - Fax:
Practice Address - Street 1:290 E JOHN CARPENTER FWY STE 2700
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-2881
Practice Address - Country:US
Practice Address - Phone:806-773-2840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX376471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice