Victoria Lansdale-Graves, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11906 Issued in TN

Practice address

1911 Cook St
Dyersburg, TN 38024-1882

Phone

(731) 286-0053

NPI assigned

Jun 10, 2022

Last updated

Jul 30, 2025By the provider in NPPES

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

Other names 1

• Victoria Lansdale Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 30, 2022 through Aug 30, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• TW Practice Partners, PLLC

  dba Southern Smile Studio

  • Dental Clinic/Center
  • Dyersburg, TN
  • NPI 1457057903
  NPD

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1952030249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 COOK ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241882",
            "telephone_number": "731-286-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 COOK ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241882",
            "telephone_number": "731-286-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSDALE-GRAVES",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "LANSDALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mallory Kissell, SLP
• Alison Knack
• Kroger Limited Partnership I (Kroger Pharmacy)
• Satyendra Kumar, AU.D.
• Gayla B Lane, PTA
• Anna Jiyoung Lee-Mulay, M.D.
• Amanda Lee
• Joan H Lee, APN
• Amanda Marie Leedy, RN
• Melissa Carol Lefave, CRNA

• General Practice Dentistry in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.