Connie Vu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18449 Issued in FL

Practice address

912 Railroad Ave
Tallahassee, FL 32310-4348

Phone

(850) 606-8400

Fax

(850) 921-9770

NPI assigned

Aug 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1760648216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 RAILROAD AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323104348",
            "telephone_number": "850-606-8400",
            "fax_number": "850-921-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 RAILROAD AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323104348",
            "telephone_number": "850-606-8400",
            "fax_number": "850-921-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "CONNIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003258500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Jean Vollertsen
• David Voorting, LCSW
• Jessica Vose
• Chelsea Keen Vrana
• Chau-Vy Vu
• Daemari Vakarr Wade Sr., ORTHODIC FITTER
• Laura Anne Wade, ARNP
• Vanessa Queenette Wade, PHARM.D
• Alyssa Waggoner
• Nancy Anne Wagner, ARNP

• General Practice Dentistry in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.