Provider Demographics
NPI:1801389457
Name:TINDOL, VICTORIA JILL (DDS)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:JILL
Last Name:TINDOL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 N 18TH ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-3054
Mailing Address - Country:US
Mailing Address - Phone:325-675-6003
Mailing Address - Fax:
Practice Address - Street 1:902 N 18TH ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-3054
Practice Address - Country:US
Practice Address - Phone:325-675-6003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice