Jolyn Su is a Dentist in Bellevue, Washington. Jolyn Su practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jolyn Su is 1013070317. The last update date is 2016-07-14.
Jolyn Su's current location address is 1426 112th Ave Ne, Bellevue, Washington. You can contact this provider via phone number 4254552370 and fax number 4254558509. The mailing address for Jolyn Su is 1426 112th Ave Ne, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jolyn Su |
|---|---|
| Address | 1426 112th Ave Ne, Bellevue, Washington |
| Phone Number | 4254552370 |
| Fax Number | 4254558509 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1013070317 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2016-07-14 |
Provider Mailing Address Detail
| Address | 1426 112th Ave Ne |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980043710 |
| Phone Number | 4254552370 |
| Fax Number | 4254558509 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00010326 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Jolyn Su's unique identification number?
The Jolyn Su has been assigned the NPI (National Provider Identifier) Number 1013070317 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jolyn Su located?
The Jolyn Su is located at 1426 112Th Ave Ne, Bellevue, WA 980043710.
What is Jolyn Su's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jolyn Su is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013070317 to Jolyn Su?
The Jolyn Su received its 1013070317 assignment from the Centers for Medicare & Medicaid Services on 2006-12-18.
As of what date was the information regarding Jolyn Su, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jolyn Su, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-07-14.
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