MEDICARE: VICTUS DENTAL II PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467917823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTUS DENTAL II PA

Provider Business Mailing Address
First Line	:	2850 MONROE ST STE B
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32514-7656
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1308 WEST 9 MILE RD SUITE 9
Second Line	:
City	:	PENSCOLA
State	:	FL
Zip	:	32534-3253
Country	:	US
Telephone Number	:	850-484-4844
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTHONY LE
Credential	:	DMD
Telephone Number	:	201-375-3363

Provider Enumeration Date	:	02/09/2019
Last Update Date	:	09/06/2023

Similar Medicare Providers

1336553759 — CHARLOTTE CREAHAN
Practice Location Address:

8814 C PALAFOX HWY , ENSLEY PHARMACY
PENSCOLA, FL
32534

Practice Phone: 850-473-0428
Practice Fax:

1841217668 — LLOYD K. RITCHIE, JR., DDS, PA
Practice Location Address:

9320 N PALAFOX ST
PENSACOLA, FL
32534-3040

Practice Phone: 850-494-2292
Practice Fax: 850-494-6613

1366241358 — BRIGHTER SMILE SOLUTIONS LLC
Practice Location Address:

410 W NINE MILE RD STE A
PENSACOLA, FL
32534-1954

Practice Phone: 850-462-5333
Practice Fax:

1992781967 — PATRICIA LYNN HUGHES CRNA
Practice Location Address:

6002 BERRYHILL RD
MILTON, FL
32570-5062

Practice Phone: 850-626-5013
Practice Fax:

1922087923 — DR. JASON DANIEL RABINOWITZ D.C.
Practice Location Address:

2122 W NINE MILE RD
PENSACOLA, FL
32534-9464

Practice Phone: 850-473-5555
Practice Fax: 850-473-5505

1699745281 — DR. DAVID WARING FULTON D.C.
Practice Location Address:

2122 W NINE MILE RD
PENSACOLA, FL
32534-9464

Practice Phone: 850-473-5555
Practice Fax: 850-473-5505

Directions to “VICTUS DENTAL II PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.