Victoria Justus

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7756 Issued in OK

Practice address

1044 E Lincoln Ave
Sapulpa, OK 74066-4505

Phone

(918) 224-7000

Fax

(918) 224-2464

NPI assigned

May 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spring Dental Claremore

  • General Practice Dentistry
  • Claremore, OK
  • NPI 1598219347
  NPD (past)
• Spring Dental Okmulgee PLLC

  • General Practice Dentistry
  • Okmulgee, OK
  • NPI 1730626987
  NPD (past)
• TNT Dental Services PLLC

  dba Willow Hill Dental Group

  • General Practice Dentistry
  • Okmulgee, OK
  • NPI 1568686749
  NPD (past)

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1487344420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 E LINCOLN AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664505",
            "telephone_number": "918-224-7000",
            "fax_number": "918-224-2464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 S Lynn Riggs Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740177814",
            "country_code": "US",
            "telephone_number": "918-283-7377",
            "fax_number": "918-203-0718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1829 S Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Okmulgee",
            "state": "OK",
            "postal_code": "744476825",
            "country_code": "US",
            "telephone_number": "918-756-6500",
            "fax_number": "918-756-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Jones, LCSW
• Susan Annette Jones, BA, CADC
• Terilynn Nicole Jones
• Dasia Jordan
• Grace Daniel Joy
• Diane Margiore Kalayam, LCSW LADC
• Joan Kauble, PT
• Baylee Marlene Keith
• Steve A Kelly Sr.
• Christopher Joseph Kennedy, PTA

• General Practice Dentistry in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.