Organization
V. I. PERIODONTICS, LLC
Active
Parent organization
TREVOR SIMMONDS, DDS, PC
Other names
trevor simmonds, dds, pc
Organization subpart
Yes
Provider details
NPI number
Legal business name
TREVOR SIMMONDS, DDS, PC
Authorized official
DR. TREVOR FRANKLIN SIMMONDS D.D.S. (PRESIDENT)
(340) 779-2009
Entity
Organization
Contact information
Practice address
9149 ESTATE THOMAS, SUITE 201, CHARLOTTE AMALIE, VI 00802-2615
(340) 779-2009
Mailing address
71 VALLEY ST, SUITE 100, SOUTH ORANGE, NJ 07079-2835
(973) 761-0961
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1019
VI
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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