Myron Zalucky, DDS
Individual provider Active NPI Dentist · St Thomas, VI
NPI 1932124104 · NPPES record last updated Sep 16, 2007
Key facts
- NPI
- 1932124104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 557 (VI)
- Practice address
- 9003 Upper Havensight Mall
Suite #309
St Thomas, VI 00802-2666 - Phone
- (340) 776-5050
- Fax
- (340) 777-9170
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 557 | VI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 557 | VI | Yes |
Addresses
Primary practice location
9003 Upper Havensight Mall
Suite #309
St Thomas, VI 00802-2666
Mailing address
9003 Upper Havensight Mall
Suite #309
St Thomas, VI 00802-2666
Phone (340) 776-5050
Other providers in St Thomas, VI
- Debra Lynn Wright-Huyghue
- Desi Jeanette Xavier
- Yacht Haven Family Practice
- Lisa Alice Yanni
- Brikti Ytbarek
- Robert A Zamelis
- Robert Alan Zolten
All providers in St Thomas, VI · Dentist in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.