Phu Vuong, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37345 Issued in TX

Practice address

610 Gilmer St Ste 1B
Sulphur Springs, TX 75482-4193

Phone

(903) 458-6821

NPI assigned

Jun 29, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vuong LLC

  • Dental Clinic/Center
  • Lavon, TX
  • NPI 1952085797
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1093385288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 FIELDVIEW DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750446541",
            "telephone_number": "972-809-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 GILMER ST STE 1B",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824193",
            "telephone_number": "903-458-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "PHU",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viviana Karen Ugalde
• United Home Medical, LTD
• Tyler Dean Usher, FNP-C
• Val Verde County Hospital District
• Randy Anthony Vince Jr., M.D.
• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LP
• Walgreen Co
• Walgreen Co.
• Herbert Mac Walling, PHD

• General Practice Dentistry in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.