| V. I. Periodontics, Llc | |
|
9149 Estate Thomas Suite 201 Charlotte Amalie VI 00802-2615 | |
| (340) 779-2009 | |
| Not Available |
| Full Name | V. I. Periodontics, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 9149 Estate Thomas, Charlotte Amalie, Virgin Island |
| Authorized Official Name and Position | Trevor Franklin Simmonds (PRESIDENT) |
| Authorized Official Contact | 3407792009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| V. I. Periodontics, Llc 71 Valley St Suite 100 South Orange NJ 07079-2835 Ph: (973) 761-0961 | V. I. Periodontics, Llc 9149 Estate Thomas Suite 201 Charlotte Amalie VI 00802-2615 Ph: (340) 779-2009 |
| NPI Number | 1649563677 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649563677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 1019 (Virgin Island) | Primary |