DR. HEATHER VICTORINE
NPI 1912054917
Dentist in Stockbridge, GA

Active since January 04, 2007
175 COUNTRY CLUB DR BLDG 300B, STOCKBRIDGE, GA 30281(678) 565-9452(678) 565-9484 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Heather Victorine NPPES

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

DR. HEATHER VICTORINE (NPI 1912054917) is an individual dentist in Stockbridge, Georgia, licensed in Georgia (DN013227) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1912054917
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. HEATHER VICTORINE
Location Address175 COUNTRY CLUB DR BLDG 300BStockbridge, GA 30281-7388
Mailing Address259 Arrowhead Blvd, Suite B-2Jonesboro, GA 30236-1167
Fax(678) 565-9484
Sole ProprietorYes
Enumeration DateJanuary 4, 2007
Last NPPES UpdateOctober 10, 2023
NPPES CertifiedOctober 10, 2023
NPI 1912054917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in GA · DN013227
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
175 COUNTRY CLUB DR BLDG 300B, Stockbridge, GA 30281

Other Identifiers 1

Medicaid175566289AGA

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
175 COUNTRY CLUB DR BLDG 300B
STOCKBRIDGE, GA 30281
Dentist (General Practice)
175 COUNTRY CLUB DR BLDG 300B
STOCKBRIDGE, GA 30281

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 Heather Victorine's NPI number?

The NPI number for Heather Victorine is 1912054917. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Heather Victorine located?

Heather Victorine practices at 175 Country Club Dr Bldg 300B, Stockbridge, GA 30281. The listed phone number is (678) 565-9452.

What is Heather Victorine's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Heather Victorine accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 11 other insurers list Heather Victorine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Victorine was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.