Dean Anthony Victor, DDS, D.ABDSM

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10498 Issued in MI

Practice address

25631 Gratiot
Roseville, MI 48066-4434

Phone

(586) 775-3312

Fax

(586) 775-4780

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Arthur V Victor DDS PC

  • Prosthodontics
  • Roseville, MI
  • NPI 1841387107

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1669569927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25631 GRATIOT",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664434",
            "telephone_number": "586-775-3312",
            "fax_number": "586-775-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25631 GRATIOT",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664434",
            "telephone_number": "586-775-3312",
            "fax_number": "586-775-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "DEAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS, D.ABDSM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MI",
            "license": "10498",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "10498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy C Varghese
• Jennifer Ann Vatalaro
• Vax Solution Inc
• Philip Stanley Vendittelli, D.O.
• Alyse Michelle Victor, MD
• Vida Womens Health PLLC
• Brandon Joel Vieder, DO
• Narayanan Vikraman, MD
• Visionworks Inc. (Visionworks)
• VMLP Rose PLLC

• General Practice Dentistry in Roseville, MI
• Providers in Roseville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.