Individual
DR. VICTORIA CROSS BETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14245 LEE HWY, BRISTOL, VA 24202-4317
(276) 669-1370
(276) 669-6348
Mailing address
14245 LEE HWY, BRISTOL, VA 24202-4317
(276) 669-1370
(276) 669-6348
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401410847
VA
1223G0001X
General Practice Dentistry
Primary
0401410847
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016051
—
VA
01
—
2016085
UNITED CONCORDIA
—
01
—
345609
ANTHEM-BCBS OF VA
VA
01
—
4171574
BCBS OF TN
TN
Enumeration date
08/24/2006
Last updated
06/23/2009
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