Myhanh Vu PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9374 Issued in CT

Legal business name

MYHANH VU PC

Practice address

193 River Rd
Lisbon, CT 06351-3258

Phone

(860) 376-8800

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Myhanh Vu

Title

Owner

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1629322805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 RIVER RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063513258",
            "telephone_number": "860-376-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYHANH VU PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "MYHANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Gaye Lussier, P.T
• Mark D. Deponte, M.D.,LLC
• Joan Marshall
• Timothy Marshall
• Devin Stephen McManaway
• Brianne Nichols
• Shaunabeth Paradiso, CBD
• Frederick Mason Phelps, PT
• Melisa Roya Powell, BCBA, LBA-CT
• Pride and Joy ABA Interventions and Consulting LLC

• General Practice Dentistry in Lisbon, CT
• Providers in Lisbon, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.