Provider Demographics
NPI:1063381853
Name:VAID, VISHNU
Entity type:Individual
Prefix:DR
First Name:VISHNU
Middle Name:
Last Name:VAID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9085 E TANQUE VERDE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-8819
Mailing Address - Country:US
Mailing Address - Phone:520-542-3448
Mailing Address - Fax:
Practice Address - Street 1:9085 E TANQUE VERDE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-8819
Practice Address - Country:US
Practice Address - Phone:520-542-3448
Practice Address - Fax:520-542-3929
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-31
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0126761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice