Individual provider · Type 1 NPI

Jie Su, DMD

Pediatric Dentistry · Plano, TX

NPI number 1891995783 Active

Practice location

4500 Legacy Dr, Suite 300
Plano, TX 75024-2179

Call (972) 618-2958 Map

Mailing address

5736 Northbrook Dr
Plano, TX 75093-5953

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X23596 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4 other providers at this address

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About NPI 1891995783

Jie Su, DMD's National Provider Identifier is 1891995783, issued on Jul 19, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Plano, TX. The record was last updated on Sep 27, 2013.