One Dental Practice LLC

Organization Active NPI Dentist · Christiansted, VI

NPI 1114386380 · NPPES record last updated Feb 22, 2016

Key facts

NPI
1114386380
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
V1221 (VI)
Legal business name
ONE DENTAL PRACTICE LLC
Practice address
35 Castle Coakley
Christiansted, VI 00820
Phone
(340) 692-9770
NPI assigned
Feb 17, 2016
Organization subpart
No

Authorized official

Name
Avril Johnson
Title
Office Manager
Phone
(340) 692-9770

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

35 Castle Coakley
Christiansted, VI 00820
Phone (340) 692-9770

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X V1021 VI
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X V1221 VI Yes

Addresses

Primary practice location

35 Castle Coakley
Christiansted, VI 00820

Mailing address

35 Estate Castle Coakley
Christiansted, VI 00820
Phone (340) 692-9770

Other names

  • St. Croix Dental Doing business as

Other providers in Christiansted, VI

All providers in Christiansted, VI · Dentist in U.S. Virgin Islands

Sources for this page

Verify at the official NPI Registry.