Provider Demographics
NPI:1932463049
Name:VU, JAMES THIEN (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:THIEN
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 1:1228 E EXCHANGE PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-1981
Mailing Address - Country:US
Mailing Address - Phone:832-305-5764
Mailing Address - Fax:
Practice Address - Street 1:1228 E EXCHANGE PKWY STE 120
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-1981
Practice Address - Country:US
Practice Address - Phone:832-305-5764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28033122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist