Provider Demographics
NPI:1801286042
Name:VERO IMPLANT AND ESTHETIC DENTISTRY
Entity type:Organization
Organization Name:VERO IMPLANT AND ESTHETIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-234-5353
Mailing Address - Street 1:5070 HIGHWAY A1A
Mailing Address - Street 2:SUITE E
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-1400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5070 HIGHWAY A1A
Practice Address - Street 2:SUITE E
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-1400
Practice Address - Country:US
Practice Address - Phone:772-234-5353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN-20089261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental