Provider Demographics
NPI:1811505951
Name:FIELDS, VICTORIA NICOLE (DMD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:NICOLE
Last Name:FIELDS
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 1:36 CORNERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-2740
Mailing Address - Country:US
Mailing Address - Phone:508-942-6081
Mailing Address - Fax:
Practice Address - Street 1:584 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1145
Practice Address - Country:US
Practice Address - Phone:508-205-0560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18587361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice