Provider Demographics
NPI:1558586297
Name:VERMA, ANGELA (DDS)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:VERMA
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 1:221 AVENUE B
Mailing Address - Street 2:GROUND DENTAL OFFICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-3355
Mailing Address - Country:US
Mailing Address - Phone:646-960-9979
Mailing Address - Fax:
Practice Address - Street 1:221 AVENUE B
Practice Address - Street 2:GROUND FLOOR DENTAL OFFICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009
Practice Address - Country:US
Practice Address - Phone:646-960-9979
Practice Address - Fax:646-960-9979
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023317001223G0001X
NY052938-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice