Provider Demographics
NPI:1730282963
Name:MATTHEWS, VICTORIA LYNNE (DDS)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LYNNE
Last Name:MATTHEWS
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:PO BOX 996
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-0996
Mailing Address - Country:US
Mailing Address - Phone:207-338-6351
Mailing Address - Fax:
Practice Address - Street 1:38 SPRING ST
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-0996
Practice Address - Country:US
Practice Address - Phone:207-338-0700
Practice Address - Fax:207-338-0700
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19082122300000X
ME3606122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist