NPI Code Details Logo

NPI 1295424257

NPI 1295424257 : BRIAN VU DMD : ARNOLD, MO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295424257
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRIAN VU DMD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/04/2023
-----------------------------------------------------
    Last Update Date     |    05/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    21 MUNICIPAL DR 
-----------------------------------------------------
    City                 |    ARNOLD
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    63010-1012
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    844-853-8937
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1270 STRASSNER DR UNIT 3110 
-----------------------------------------------------
    City                 |    BRENTWOOD
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    63144-1885
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    714-331-7492
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    122300000X
-----------------------------------------------------
    Taxonomy Name        |    Dentist
-----------------------------------------------------
    License Number       |    2901602552
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    2024025259
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.