1467526376 NPI number — DARRYL W.S. CHEN & LINH T. VU DDS

Table of content: (NPI 1467526376)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467526376 NPI number — DARRYL W.S. CHEN & LINH T. VU DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DARRYL W.S. CHEN & LINH T. VU DDS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467526376
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1313
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FERNDALE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98248-1313
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-380-4553
Provider Business Mailing Address Fax Number:
360-384-6282

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2901 MERIDIAN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLINGHAM
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98225-1721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-671-7228
Provider Business Practice Location Address Fax Number:
360-738-9973
Provider Enumeration Date:
11/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
VU
Authorized Official First Name:
LINH
Authorized Official Middle Name:
T.
Authorized Official Title or Position:
GENERAL DENTIST
Authorized Official Telephone Number:
360-380-4553

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  6754 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1223G0001X , with the licence number: 6731 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com