Healthcare Provider Details

I. General information

NPI: 1053231316
Provider Name (Legal Business Name): WEBB FAMILY DENTAL CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2618 13TH ST
SAINT CLOUD FL
34769-4131
US

IV. Provider business mailing address

2618 13TH ST
SAINT CLOUD FL
34769-4131
US

V. Phone/Fax

Practice location:
  • Phone: 407-957-5344
  • Fax:
Mailing address:
  • Phone: 407-957-5344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VICTORIA LEE WEBB
Title or Position: OWNER/DENTIST
Credential: DMD
Phone: 407-957-5344