Provider Demographics
NPI:1326322678
Name:JOSSETTE VO, D.M.D., P.A.
Entity Type:Organization
Organization Name:JOSSETTE VO, D.M.D., P.A.
Other - Org Name:ARGYLE ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSSETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:904-551-7440
Mailing Address - Street 1:6339 -1 ARGYLE FOREST BLVD
Mailing Address - Street 2:1
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-6666
Mailing Address - Country:US
Mailing Address - Phone:904-551-7440
Mailing Address - Fax:
Practice Address - Street 1:6339 -1 ARGYLE FOREST BLVD
Practice Address - Street 2:1
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-6666
Practice Address - Country:US
Practice Address - Phone:904-551-7440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSSETTE VO, D.M.D., P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-05
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 168741223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty