Organization Active NPI

Herbert Hung Vu 3

Doing business as Premier Dental

  • General Practice Dentistry
  • Albemarle, NC
National Provider Identifier
1174013833
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HERBERT HUNG VU 3
Doing business as
Premier Dental
Practice address
1122 N 6TH St
Albemarle, NC 28001-2903
Phone
(704) 982-5516
Fax
(704) 983-8985
NPI assigned
May 17, 2018
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Herbert Hung Vu, DDS, PLLC
Title
Provider/Owner
Phone
(704) 982-5516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1122 N 6TH St
Albemarle, NC 28001-2903

Mailing address

1122 N 6TH St
Albemarle, NC 28001-2903
Phone (704) 982-5516

Other identifiers 1

IdentifierTypeStateIssuer
1730477977MedicaidNC

Other names 1

  • Premier Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1174013833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N 6TH ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012903",
            "telephone_number": "704-982-5516",
            "fax_number": "704-983-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N 6TH ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012903",
            "telephone_number": "704-982-5516",
            "fax_number": "704-983-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT HUNG VU 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "HUNG",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "704-982-5516",
        "authorized_official_credential": "DDS, PLLC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730477977",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.