Active NPIIndividual provider

Vivien W Ku, DDS

Student in an Organized Health Care Education/Training Program in Newark, New Jersey

NPI Number1780117325
Practice location
201 Lyons Ave, Newark Beth Israel Medical Center, Department Of Dentistry, Newark, NJ 07112
Fax
973-926-5306
Last updated
June 30, 2017

Vivien Wai Tung Ku is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Vivien Wai Tung Ku practices in Newark, NJ and has the professional credentials of DDS. The NPI Number for Vivien Wai Tung Ku is 1780117325. The current practice location address for Vivien Wai Tung Ku is 201 Lyons Ave, Newark Beth Israel Medical Center, Department Of Dentistry, Newark, NJ 07112 and can be reached out via phone at 973-926-7642 and via fax at 973-926-5306.

Provider Profile Details

NPI Number
1780117325
Provider Name
Vivien Wai Tung Ku
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Newark Beth Israel Medical Center, Department Of Dentistry, Newark, NJ 07112
Phone Number
973-926-7642
Fax Number
973-926-5306
Sole Proprietor
No
Provider Enumeration Date
April 11, 2017
Last Update Date
June 30, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave, Newark Beth Israel Medical Center
Department Of Dentistry
Newark, NJ 07112
City
Newark
Zip
07112
Phone Number
973-926-7642
Fax Number
973-926-5306
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
201 Lyons Ave, Newark Beth Israel Medical Center
Department Of Dentistry
Newark, NJ 07112
City
Newark
State
NJ
Zip
07112
Phone Number
973-926-7642
Fax Number
973-926-5306

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Vivien W Ku, DDS?

The NPI number of Vivien W Ku, DDS is 1780117325. It was assigned on April 11, 2017 and is currently active in the NPPES registry.

What is the specialty of Vivien W Ku, DDS?

Vivien W Ku, DDS is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Vivien W Ku, DDS practice?

The practice location is 201 Lyons Ave, Newark Beth Israel Medical Center, Department Of Dentistry, Newark, NJ 07112. The office can be reached at 973-926-7642 (phone) or 973-926-5306 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780117325 directly on the NPPES registry website.

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