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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. VICTORIA TUCKER OTTERHOLT D.D.S.
NPI 1780639740
Dentist - General Practice in Mount Vernon, WA

Active since May 24, 2006PECOS Enrolled
104 N 15TH ST, MOUNT VERNON, WA 98273(360) 424-9045 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Victoria Tucker Otterholt D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VICTORIA TUCKER OTTERHOLT D.D.S. (NPI 1780639740) is an individual general practice provider in Mount Vernon, Washington, licensed in Washington (4963) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780639740
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. VICTORIA TUCKER OTTERHOLTCredential: D.D.S.
Location Address104 N 15TH STMount Vernon, WA 98273-3405
Mailing Address4002 Ridge WayMount Vernon, WA 98273-9452 · (360) 424-8804
Phone(360) 424-9045
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1780639740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 4963
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
104 N 15TH ST, Mount Vernon, WA 98273
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Victoria Tucker Otterholt D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98273 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANA ERIC OTTERHOLT D.D.S.
Dentist (General Practice)
104 N 15TH ST
MOUNT VERNON, WA 98273
Skagit County (360) 424-9045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Otterholt's NPI number?

The NPI number for Victoria Otterholt is 1780639740. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Victoria Otterholt located?

Victoria Otterholt practices at 104 N 15th St, Mount Vernon, WA 98273. The listed phone number is (360) 424-9045.

What is Victoria Otterholt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Victoria Otterholt enrolled in Medicare?

Yes. Victoria Otterholt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Otterholt was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.