Jack Su is a General Practice in Buffalo, New York. Jack Su practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Su is 1326134941. The last update date is 2007-07-08.
Jack Su's current location address is 1950 Sheridan Dr., Buffalo, New York. You can contact this provider via phone number 7168753660. The mailing address for Jack Su is 1950 Sheridan Dr., Buffalo, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Su |
|---|---|
| Address | 1950 Sheridan Dr., Buffalo, New York |
| Phone Number | 7168753660 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1326134941 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1950 Sheridan Dr. |
|---|---|
| City | Buffalo |
| State | New York (NY) |
| Post Code | 142231240 |
| Phone Number | 7168753660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 49306 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2164125 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack Su by the Centers for Medicare & Medicaid Services?
The Jack Su has been assigned the NPI (National Provider Identifier) 1326134941 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jack Su?
The Jack Su is situated at 1950 Sheridan Dr., in the city of Buffalo, state of NY, with the zip code 142231240.
What is Jack Su's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jack Su is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Jack Su receive the assignment of its 1326134941 from the Centers for Medicare & Medicaid Services?
The Jack Su was issued its 1326134941 by the Centers for Medicare & Medicaid Services on 2006-10-04.
When was the information regarding Jack Su, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jack Su, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.