Provider Demographics
NPI:1871116293
Name:VELTMAN, KIMBERLY ELIZABETH (DMD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ELIZABETH
Last Name:VELTMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:ELIZABETH
Other - Last Name:BOERIGTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11074 S SHILLING AVE APT 2402
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-4255
Mailing Address - Country:US
Mailing Address - Phone:505-412-5355
Mailing Address - Fax:
Practice Address - Street 1:120 DENTAL CIR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-5021
Practice Address - Country:US
Practice Address - Phone:919-537-3404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program