Provider Demographics
NPI:1013323104
Name:VINHAS, THIAGO (DDS)
Entity Type:Individual
Prefix:DR
First Name:THIAGO
Middle Name:
Last Name:VINHAS
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 1:876 CIVIC CENTER DR
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-3207
Mailing Address - Country:US
Mailing Address - Phone:847-583-1900
Mailing Address - Fax:
Practice Address - Street 1:110 VINTAGE PARK BLVD STE 230
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4047
Practice Address - Country:US
Practice Address - Phone:832-365-7007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30610122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist