Healthcare Provider Details

I. General information

NPI: 1255930053
Provider Name (Legal Business Name): VERO IMPLANTS AND PERIODONTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2020
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 37TH ST STE 401
VERO BEACH FL
32960-7322
US

IV. Provider business mailing address

1355 37TH ST STE 401
VERO BEACH FL
32960-7322
US

V. Phone/Fax

Practice location:
  • Phone: 772-569-9700
  • Fax: 772-569-9704
Mailing address:
  • Phone: 772-569-9700
  • Fax: 772-569-9704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY JASON BROWN
Title or Position: OWNER
Credential: DMD, MS
Phone: 772-569-9700