Active NPI
Phuoc Thanh Vuong, DMD, MS
- Dentist
- Cashton, WI
National Provider Identifier
1073787321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6861-15
- Practice address
- 238 Front St
Cashton, WI 54619-2002 - Phone
- (608) 654-5100
- Fax
- (608) 654-7408
- NPI assigned
- Apr 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.025958 | IL | |
| Dentist | 122300000X | 6861-15 | WI | Primary |
Addresses
Primary practice location
238 Front St
Cashton, WI 54619-2002
Mailing address
238 Front St
Cashton, WI 54619-2002
Phone (608) 654-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160309000964 | WI | Order and Referring Only - Dentist | 0345546818 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6861-15 | WI | MD | Dentist |
| 019.025958 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates LTD of Wisconsin | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1073787321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 FRONT ST",
"city": "CASHTON",
"state": "WI",
"postal_code": "546192002",
"telephone_number": "608-654-5100",
"fax_number": "608-654-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 FRONT ST",
"city": "CASHTON",
"state": "WI",
"postal_code": "546192002",
"telephone_number": "608-654-5100",
"fax_number": "608-654-7408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUONG",
"first_name": "PHUOC",
"middle_name": "THANH",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-17",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.025958",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6861-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cashton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.