DR. DAVID TIEN SI VO DDS NPI 1164737540

NPI Information

NPI: 1164737540
Provider Name: DR. DAVID TIEN SI VO, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
275 WEST PRINCETON DR.
SUITE 100
PRINCETON, TX
ZIP 75407
Phone: (972) 736-1000
Get Directions

DR. David Tien Si Vo, DDS is a pediatric dentistry dentist in Princeton, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. David Tien Si Vo, DDS NPI is 1164737540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

275 WEST PRINCETON DR.
SUITE 100
PRINCETON, TX
ZIP 75407
Phone: (972) 736-1000
Fax: (972) 736-1002

The NPI 1164737540 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/10/2010 and was last updated on 8/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	25850	TEXAS	Yes
2	1223P0221X	Dentist	Pediatric Dentistry	6282	NEVADA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	213300104	MEDICAID	TEXAS
2	213300107	MEDICAID	TEXAS
3	213300106	MEDICAID	TEXAS
4	213300102	MEDICAID	TEXAS
5	213300105	MEDICAID	TEXAS
6	213300101	MEDICAID	TEXAS
7	213300103	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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