DR. VICTORIA LANSDALE-GRAVES DDS
NPI 1952030249
Dentist - General Practice in Dyersburg, TN

Active since June 10, 2022Opted out of Medicare · through Aug 30, 2026
1911 COOK ST, DYERSBURG, TN 38024(731) 286-0053 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Victoria Lansdale-graves Dds NPPES

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

DR. VICTORIA LANSDALE-GRAVES DDS (NPI 1952030249) is an individual general practice provider in Dyersburg, Tennessee, licensed in Tennessee (11906) and active in the NPI registry since June 2022. She has opted out of Medicare through August 30, 2026.

NPPES Registry Identity

NPI1952030249
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. VICTORIA LANSDALE-GRAVESCredential: DDS
Location Address1911 COOK STDyersburg, TN 38024-1882
Mailing Address1911 Cook StDyersburg, TN 38024-1882 · (731) 286-0053
Sole ProprietorNo
Enumeration DateJune 10, 2022
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
NPI 1952030249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TN · 11906
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.
1911 COOK ST, Dyersburg, TN 38024

Other Names 1

Former Name (1)Victoria Lansdale

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Victoria Lansdale-graves Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 30, 2022 through August 30, 2026.

Opt-Out Effective DateAugust 30, 2022
Opt-Out In Effect ThroughAugust 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

Clinic/Center (Dental)
1911 COOK ST
DYERSBURG, TN 38024
Dentist (General Practice)
1911 COOK ST
DYERSBURG, TN 38024

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 Lansdale-graves's NPI number?

The NPI number for Victoria Lansdale-graves is 1952030249. It was assigned to this individual provider in the NPPES registry on June 10, 2022. The provider is also known as Victoria Lansdale.

Where is Victoria Lansdale-graves located?

Victoria Lansdale-graves practices at 1911 Cook St, Dyersburg, TN 38024. The listed phone number is (731) 286-0053.

What is Victoria Lansdale-graves's specialty?

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

Is Victoria Lansdale-graves enrolled in Medicare?

No. Victoria Lansdale-graves has opted out of Medicare through August 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Victoria Lansdale-graves accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Victoria Lansdale-graves 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 Victoria Lansdale-graves was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.