# ONE DENTAL PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Croix Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114386380
- **Authorized official:** AVRIL JOHNSON (OFFICE MANAGER)
- **Authorized official phone:** (340) 692-9770

## Contact information

- **Practice address:** 35 CASTLE COAKLEY, CHRISTIANSTED, VI 00820
- **Practice address phone:** (340) 692-9770
- **Mailing address:** 35 ESTATE CASTLE COAKLEY, CHRISTIANSTED, VI 00820
- **Mailing address phone:** (340) 692-9770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | V1021 | VI | — |
| 122300000X | Dentist | V1221 | VI | Yes |

## Other

- **Enumeration date:** 02/17/2016
- **Last updated:** 02/22/2016