# GERARD A VELTRI DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376619767
- **Authorized official:** DR. GERARD A VELTRI D.D.S. (OWNER)
- **Authorized official phone:** (304) 622-8001

## Contact information

- **Practice address:** 222 COURT ST, CLARKSBURG, WV 26301-2906
- **Practice address phone:** (304) 622-8001
- **Practice address fax:** (304) 622-0619
- **Mailing address:** 222 COURT ST, CLARKSBURG, WV 26301-2906
- **Mailing address phone:** (304) 622-8001
- **Mailing address fax:** (304) 622-0619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2829 | WV | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0132535000 | — | WV |