Provider Demographics
NPI:1629755715
Name:DEAN, VICTOR LLOYD IV (BS, MS, DC)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:LLOYD
Last Name:DEAN
Suffix:IV
Gender:M
Credentials:BS, MS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2395 TECH DR
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-7602
Mailing Address - Country:US
Mailing Address - Phone:563-265-5056
Mailing Address - Fax:
Practice Address - Street 1:2395 TECH DR
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-7602
Practice Address - Country:US
Practice Address - Phone:563-265-5056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-29
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA119600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor