Provider Demographics
NPI:1598013021
Name:VU, HENRY HIEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:HIEN
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 1:10700 KETTERING DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-3770
Mailing Address - Country:US
Mailing Address - Phone:704-540-5550
Mailing Address - Fax:704-540-5441
Practice Address - Street 1:10700 KETTERING DR
Practice Address - Street 2:SUITE A
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-3770
Practice Address - Country:US
Practice Address - Phone:972-820-7294
Practice Address - Fax:704-540-5441
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX280601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice