Provider Demographics
NPI:1518013267
Name:VU, RICK Q (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:Q
Last Name:VU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2475 HIGHWAY 49 E
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37146-7147
Mailing Address - Country:US
Mailing Address - Phone:615-746-2929
Mailing Address - Fax:615-746-9998
Practice Address - Street 1:2475 HIGHWAY 49 E
Practice Address - Street 2:
Practice Address - City:PLEASANT VIEW
Practice Address - State:TN
Practice Address - Zip Code:37146-7147
Practice Address - Country:US
Practice Address - Phone:615-746-2929
Practice Address - Fax:615-746-9998
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8018122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN80-0144134OtherTAX ID