Provider Demographics
NPI:1588412100
Name:THURMAN, VICTORIA LEIGH (DDS)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LEIGH
Last Name:THURMAN
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 1:709 S MARKET ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43014-3514
Mailing Address - Country:US
Mailing Address - Phone:740-240-4034
Mailing Address - Fax:
Practice Address - Street 1:709 S MARKET ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:OH
Practice Address - Zip Code:43014-3514
Practice Address - Country:US
Practice Address - Phone:740-240-4034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.027499122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist