Provider Demographics
NPI:1639741101
Name:VU, ANDREW T (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:T
Last Name:VU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22762 WESTHEIMER PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-8825
Mailing Address - Country:US
Mailing Address - Phone:281-295-2100
Mailing Address - Fax:
Practice Address - Street 1:22762 WESTHEIMER PKWY STE 500
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-8825
Practice Address - Country:US
Practice Address - Phone:281-295-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-14
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTDEN-DEN-LIC-21470122300000X
TX382931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist