Organization
DEPARTMENT OF HEALTH, GOVT OF THE VIRGIN ISLAND, DENTAL PUBLIC HELATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LORNA MILLER (REVENUE MANAGER)
(340) 718-1311
Entity
Organization
Contact information
Practice address
3500 ESTATE RICHMOND, DEPT OF HEALTH CHARLES HARWOOD CO, CHRISTIANSTED, VI 00820
(340) 718-1311
(340) 718-1376
Mailing address
3500 ESTATE RICHMOND, DEPT OF HEALTH CHARLES HARWOOD CO, CHRISTIANSTED, VI 00820
(340) 718-1311
(340) 718-1376
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HR813A & CN123A
MEDICARE PTAN
VI
Enumeration date
03/08/2016
Last updated
03/08/2016
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