Provider Demographics
NPI:1578793600
Name:VOS, BRANDON JAY (DDS)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:JAY
Last Name:VOS
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 1:855 BLUE SKY DR
Mailing Address - Street 2:APT 302
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-9031
Mailing Address - Country:US
Mailing Address - Phone:641-891-2288
Mailing Address - Fax:
Practice Address - Street 1:S DENTAL SCIENCE BLDG RM 435
Practice Address - Street 2:UNIVERSITY OF IOWA COLLEGE OF DENTISTRY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246
Practice Address - Country:US
Practice Address - Phone:319-335-7469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08650122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist