Victoria Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VICTORIA DENTISTRY, PLLC

Doing business as

Smile Structure

Practice address

8809 North Navarro
Ste.100
Victoria, TX 77904

Phone

(210) 572-2393

NPI assigned

Aug 28, 2012

Last updated

Aug 28, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrew Scraver

Title

Owner/Dentist

Phone

(210) 572-2385

Specialties & licenses 1

Addresses

Other names 1

• Smile Structure Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1053669762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8809 NORTH NAVARRO",
            "address_2": "STE.100",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "210-572-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8809 NORTH NAVARRO",
            "address_2": "STE.100",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "210-572-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "SCRAVER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "210-572-2385",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Structure",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Chiropractic Clinic PLLC
• Victoria City-County Health Department
• Victoria County (HARP of Victoria)
• Victoria County
• Victoria Dental Assoicates
• Victoria Dermatology, PA
• Victoria Ed (Victoria ER)
• Victoria Electrocardiography (Victoria EKG)
• Victoria Emergency Associates
• Victoria Emergency Associates LLC

• General Practice Dentistry in Victoria, TX
• Providers in Victoria, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.