MEDICARE: LAURA VO DDS

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	122300000X	Dentist	10534	TN
2	122300000X	Dentist	DE61040095	WA
3	122300000X	Dentist	3972-17	MS
4	122300000X	Dentist	6613	AL
5	122300000X	Dentist	7370	OK

General Provider Information

NPI Number	:	1700314986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA VO DDS

Provider Business Mailing Address
First Line	:	8950 US HIGHWAY 64 STE 108
Second Line	:
City	:	ARLINGTON
State	:	TN
Zip	:	38002-4566
Country	:	US
Telephone Number	:	901-308-5952
Fax Number	:

Provider Business Practice Location Address
First Line	:	8950 US HIGHWAY 64 STE 108
Second Line	:
City	:	LAKELAND
State	:	TN
Zip	:	38002-4566
Country	:	US
Telephone Number	:	901-308-5952
Fax Number	:

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

Provider Enumeration Date	:	05/31/2017
Last Update Date	:	03/02/2026

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Directions to “ LAURA VO DDS” Practice Location

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