Provider Demographics
NPI:1457364812
Name:INGLIS, VICTORIA A (DMD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:A
Last Name:INGLIS
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 1:414 FAIRVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1037
Mailing Address - Country:US
Mailing Address - Phone:215-862-0295
Mailing Address - Fax:
Practice Address - Street 1:1018 US HIGHWAY 202 S
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3733
Practice Address - Country:US
Practice Address - Phone:908-526-5151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ200481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice