MEDICARE: DR. TAMMY VO DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0401419619	VA

General Provider Information

NPI Number	:	1063277721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMMY VO DMD

Provider Business Mailing Address
First Line	:	1415 N TAFT ST APT 1077
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2671
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	947 S GEORGE MASON DR
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1556
Country	:	US
Telephone Number	:	703-521-0900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2024
Last Update Date	:	09/11/2025

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