Provider Demographics
NPI:1396824371
Name:SEVIER, VICTOR HENRY III (DDS)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:HENRY
Last Name:SEVIER
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 CORPORATE DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360
Mailing Address - Country:US
Mailing Address - Phone:985-868-8282
Mailing Address - Fax:985-868-8209
Practice Address - Street 1:126 CORPORATE DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360
Practice Address - Country:US
Practice Address - Phone:985-868-8282
Practice Address - Fax:985-868-8209
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3469122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist