Active NPIOrganization

Victory 96 LLC

Dentist, General Practice in Montclair, New Jersey

NPI Number1487578480
Practice location
86 Valley RD Ste 2, Montclair, NJ 07042-2209
Fax
—
Last updated
August 5, 2026

Victory 96 LLC is a healthcare organization based in Montclair, NJ. Victory 96 LLC practices in Montclair, NJ. The NPI Number for Victory 96 LLC is 1487578480. The current practice location address for Victory 96 LLC is 86 Valley RD Ste 2, Montclair, NJ 07042-2209 and can be reached out via phone at 973-746-1616.

Provider Profile Details

NPI Number
1487578480
Provider Name
Victory 96 LLC
Provider Entity Type
Organization
Address
86 Valley RD Ste 2, Montclair, NJ 07042-2209
Phone Number
973-746-1616
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Thomas Rollo · Owner · 862-596-2898
Provider Enumeration Date
August 5, 2026
Last Update Date
August 5, 2026
Certification Date
August 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
86 Valley RD Ste 2
Montclair, NJ 07042-2209
Zip
07042-2209
Phone Number
973-746-1616
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
86 Valley RD Ste 2
Montclair, NJ 07042-2209
City
Montclair
State
NJ
Zip
07042-2209

License Information

Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Victory 96 LLC?

The NPI number of Victory 96 LLC is 1487578480. It was assigned on August 5, 2026 and is currently active in the NPPES registry.

What is the specialty of Victory 96 LLC?

Victory 96 LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Victory 96 LLC practice?

The practice location is 86 Valley RD Ste 2, Montclair, NJ 07042-2209. The office can be reached at 973-746-1616 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487578480 directly on the NPPES registry website.

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