Provider Demographics
NPI:1205699980
Name:VO, HIEP DUY (DMD)
Entity type:Individual
Prefix:
First Name:HIEP
Middle Name:DUY
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 1:1750 SHILOH RD NW APT 205
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-6483
Mailing Address - Country:US
Mailing Address - Phone:404-310-5251
Mailing Address - Fax:
Practice Address - Street 1:600 CHASTAIN RD NW STE 422
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-3208
Practice Address - Country:US
Practice Address - Phone:770-423-1132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN123307122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist