HONGLAM THI VO (NPI# 1821616186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821616186 |
Entity Type | Individual |
Full Name | HONGLAM THI VO |
Credential | DMD |
Practice Address |
4164 S Broadway Ave Tyler TX 75701-8719 |
Mailing Address |
5872 Old Jacksonville Hwy Apt 626 Tyler TX 75703-0615 |
Practice Telephone | 9039390703 |
Enumeration Date | 2020-07-13 |
Last Update Date | 2020-07-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 36294 | TX | Dental Providers |
Street Address |
4164 S BROADWAY AVE |
City | TYLER |
State | TX |
Zip Code | 75701-8719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629598586 | Kunduru Dental Pllc | Dentist | 4164 S Broadway Ave, Tyler, TX 75701-8719 | 2017-06-22 |
1952959322 | Justin M Stephens | Dentist | 4164 S Broadway Ave, Tyler, TX 75701-8719 | 2019-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
Find all providers in zip 75701 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912504572 | Paul Glenn Swinney IIi | Dentist | 5613 Donnybrook Ave, Tyler, TX 75703-6111 | 2020-10-07 |
1447878756 | Nathan William Guess | Dentist | 3905 University Blvd Ste 200, Tyler, TX 75701-6610 | 2020-07-13 |
1871090860 | Dylan Patrick Dds, Pllc | Dentist | 419 W Sw Loop 323 Ste 300, Tyler, TX 75701-7062 | 2018-04-07 |
1356896229 | Bryan Sendelbach | Dentist | 3800 Southpark Dr, Tyler, TX 75703-1713 | 2016-08-22 |
1962859058 | Avera Marshall | Dentist | 197 N Tyler St, Tyler, MN 56178-1160 | 2016-05-18 |
1235500752 | Sachin V Kocharekar | Dentist | 3310 S Southwest Loop 323, Tyler, TX 75701-9236 | 2015-10-09 |
1538555370 | Rose Dental Care of Tyler | Dentist | 5111 Troup Hwy, 100, Tyler, TX 75707-1919 | 2015-04-08 |
1275939902 | Henry Trammell | Dentist | 504 S Spring Ave, Tyler, TX 75702-8140 | 2014-11-06 |
1275955486 | Rice Road Dental Associates, P.a. | Dentist | 5613 S Donnybrook Ave, Tyler, TX 75703 | 2014-01-08 |
1629499710 | Donald A. Allen D.d.s. | Dentist | 601 E Dodge St, Tyler, TX 75701-1812 | 2013-12-17 |
Find all providers in TYLER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.