Provider Demographics
NPI:1710766225
Name:PINHEIRO FEITOSA, VICTOR (DDS, MSC, PHD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:PINHEIRO FEITOSA
Suffix:
Gender:M
Credentials:DDS, MSC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COLLEGE OF DENTISTRY
Mailing Address - Street 2:322 DENTAL SCIENCE BLDG S
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1001
Mailing Address - Country:US
Mailing Address - Phone:319-335-7440
Mailing Address - Fax:319-335-7451
Practice Address - Street 1:COLLEGE OF DENTISTRY
Practice Address - Street 2:801 NEWTON RD
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1001
Practice Address - Country:US
Practice Address - Phone:319-335-7440
Practice Address - Fax:319-335-7451
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAFAC-40226122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist