Vero Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN5535 Issued in FL

Legal business name

VERO DENTAL LLC

Practice address

3036 20TH St
Vero Beach, FL 32960-3004

Phone

(772) 778-5550

Fax

(772) 778-7944

NPI assigned

Feb 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kat Dufresne

Title

Office Manager

Phone

(772) 778-5550

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1871984591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603004",
            "telephone_number": "772-778-5550",
            "fax_number": "772-778-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603004",
            "telephone_number": "772-778-5550",
            "fax_number": "772-778-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "DUFRESNE",
        "authorized_official_first_name": "KAT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-778-5550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN5535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vero Beach Surgery Center LLC
• Vero Beach Surgical Arts P.a.
• Vero Cosmetic Surgery & Medispa LLC
• Vero Dental Spa PA
• Vero ENT Associates LLC
• Vero ENT Associates LLC
• Vero Facial Cosmetic Surgery & Medispa ,PLLC
• Vero Gastroenterology LLC

• Dentist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.