Provider Demographics
NPI:1942929047
Name:VINDENTAL PLLC
Entity Type:Organization
Organization Name:VINDENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINH
Authorized Official - Middle Name:DUY
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:823-326-6900
Mailing Address - Street 1:4658 JAZZ ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-8511
Mailing Address - Country:US
Mailing Address - Phone:832-326-6900
Mailing Address - Fax:
Practice Address - Street 1:901 W CAMPBELL RD STE A
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-2510
Practice Address - Country:US
Practice Address - Phone:972-495-7435
Practice Address - Fax:972-495-2579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental