Provider Demographics
NPI:1255930053
Name:VERO IMPLANTS AND PERIODONTICS, LLC
Entity type:Organization
Organization Name:VERO IMPLANTS AND PERIODONTICS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:772-569-9700
Mailing Address - Street 1:1355 37TH ST STE 401
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-7322
Mailing Address - Country:US
Mailing Address - Phone:772-569-9700
Mailing Address - Fax:772-569-9704
Practice Address - Street 1:1355 37TH ST STE 401
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-7322
Practice Address - Country:US
Practice Address - Phone:772-569-9700
Practice Address - Fax:772-569-9704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental