Provider Demographics
NPI:1427899533
Name:VO, DUY THANH (DMD)
Entity type:Individual
Prefix:DR
First Name:DUY
Middle Name:THANH
Last Name:VO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 W BOGART RD STE D
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-5792
Mailing Address - Country:US
Mailing Address - Phone:419-627-1255
Mailing Address - Fax:
Practice Address - Street 1:1313 W BOGART RD STE D
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-5792
Practice Address - Country:US
Practice Address - Phone:419-627-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.027597122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist