Provider Demographics
NPI:1720829500
Name:CARUS, VERONICA (DT)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:CARUS
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-3910
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2000 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-3910
Practice Address - Country:US
Practice Address - Phone:507-354-2324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
124Q00000X
MNDT169125J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes125J00000XDental ProvidersDental TherapistGroup - Single Specialty
No124Q00000XDental ProvidersDental Hygienist