Victory Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

038464 Issued in NY

Legal business name

VICTORY DENTAL PLLC

Practice address

1311 Bay Street
Staten Island, NY 10305

Phone

(718) 447-4510

Fax

(718) 815-0249

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Steven H Brenman, DMDNPI 1386769024

Title

Owner

Phone

(718) 447-6400

Specialties & licenses 1

Addresses

Other names 1

• Steven H Brenman DMD Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Hal Brenman, DMD

  • Dentist
  • Staten Island, NY
  • NPI 1386769024
  NPD (past) Authorized official
• Andrew S Hechtman, DMD

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1437349396
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104039965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-447-6400",
            "fax_number": "718-442-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 BAY STREET",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-447-4510",
            "fax_number": "718-815-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRENMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-447-6400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "038464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven H Brenman DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hector Rivera Victoriano, OTR/L
• Victory Ambulatroy Services, LLC
• Victory Behavioral Health Inc
• Victory Blvd Medical Procedures PC
• Victory Blvd Social Day Care Inc
• Victory Family Pharmacy, LLC
• Victory Internal Medicine, P.C.
• Victory Medical Group PLLC
• Victory Medical PLLC
• Victory Medical PLLC

• Dentist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.