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Contact Information

LUIS GUILLERMO VEGA, DDS
6520 226TH PLACE SE
SUITE 205
ISSAQUAH, WA98027
 Phone: 425-477-7723
 Fax: 425-477-7784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for LUIS GUILLERMO VEGA · (Male)

NPI # 1407875958
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/18/2006
Last updated 10/18/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # DS9751
  • FL Other P00323221 RAILROAD MEDICARE
Hospital affiliation(s)
  • VANDERBILT UNIVERSITY HOSPITAL - (Acute Care)
    1161 21ST AVENUE SOUTH
    NASHVILLE, TN 37232
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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