Provider Demographics
NPI:1174255004
Name:WEBB, VICTORIA LEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LEE
Last Name:WEBB
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2618 13TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-4131
Mailing Address - Country:US
Mailing Address - Phone:407-957-5344
Mailing Address - Fax:407-957-5473
Practice Address - Street 1:2618 13TH ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-4131
Practice Address - Country:US
Practice Address - Phone:407-957-5344
Practice Address - Fax:407-957-5473
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-29
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN27185122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist