# ISLAND PARADISE DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST JOHN DENTAL, ST. JOHN DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013759539
- **Authorized official:** DR. RAMESH KIANFAR DMD (PRESIDENT)
- **Authorized official phone:** (201) 724-0600

## Contact information

- **Practice address:** 260-A GREAT CRUZ BAY, PALM PLAZA UNIT 1-A, CRUZ BAY, VI 00831
- **Practice address phone:** (340) 693-8898
- **Mailing address:** PO BOX 8326, ST JOHN, VI 00831-8326
- **Mailing address phone:** (340) 693-8898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/07/2024
- **Last updated:** 06/07/2024