Therese Quynh Vu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12692 Issued in GA

Practice address

5886 Wendy Bagwell Pkwy
Suite 201
Hiram, GA 30141

Phone

(770) 222-6077

Fax

(770) 222-6079

NPI assigned

Aug 18, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902910110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 ECHO MILL DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274959",
            "telephone_number": "678-567-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5886 WENDY BAGWELL PKWY",
            "address_2": "SUITE 201",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "30141",
            "telephone_number": "770-222-6077",
            "fax_number": "770-222-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "THERESE",
        "middle_name": "QUYNH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "12692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ange Nilsa Fontaine Victor, REGISTERED NURSE
• Marie Guilda Vilmont-Rhea, APRN
• Vitality Health and Glow Clinic
• Vodas Chiropractic CL PC
• Phillip G Vodas, D.C.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Zachary Walden, NP
• Walgreen Co
• Amanda Walker

• General Practice Dentistry in Hiram, GA
• Providers in Hiram, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.