Provider Demographics
NPI:1952329674
Name:DEFOY, VINCENT HOLLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:HOLLE
Last Name:DEFOY
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 1:2600 S GESSNER RD
Mailing Address - Street 2:STE 311
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3214
Mailing Address - Country:US
Mailing Address - Phone:713-781-0240
Mailing Address - Fax:
Practice Address - Street 1:2600 S GESSNER RD
Practice Address - Street 2:#503
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3200
Practice Address - Country:US
Practice Address - Phone:713-781-0240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice