Dr Victoria Lansdale-graves, DDS is a
Dentist based in South Fulton, Tennessee. Dr Victoria Lansdale-graves is licensed to practice in Tennessee (license number 11906) and her current practice location is
1201 Industrial Park Rd, South Fulton, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(731) 479-3445.
NPI number for Dr Victoria Lansdale-graves is 1952030249 and her current mailing address is 703 Summer St, Union City, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952030249.
Healthcare Provider's Profile
Full Name | Dr Victoria Lansdale-graves |
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Gender | Female |
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Speciality | Dentist |
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Location | 1201 Industrial Park Rd, South Fulton, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952030249
- Provider Enumeration Date: 06/10/2022
- Last Update Date: 06/10/2022
Medical Identifiers
Medical identifiers for Dr Victoria Lansdale-graves such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952030249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 11906 (Tennessee) | Secondary |
122300000X | Dentist | 11906 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Victoria Lansdale-graves is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Victoria Lansdale-graves, DDS 703 Summer St, Union City, TN 38261-4145 Ph: (731) 695-9863 | Dr Victoria Lansdale-graves, DDS 1201 Industrial Park Rd, South Fulton, TN 38257-2700 Ph: (731) 479-3445 |
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