Provider Demographics
NPI:1548458649
Name:SARASOTA DENTAL DESIGNS, PA
Entity type:Organization
Organization Name:SARASOTA DENTAL DESIGNS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:THIEN
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:941-923-7060
Mailing Address - Street 1:2345 BEE RIDGE RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6251
Mailing Address - Country:US
Mailing Address - Phone:941-923-7060
Mailing Address - Fax:941-925-4724
Practice Address - Street 1:2345 BEE RIDGE RD
Practice Address - Street 2:SUITE 4
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6251
Practice Address - Country:US
Practice Address - Phone:941-923-7060
Practice Address - Fax:941-925-4724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty