Su-En Chu Thlick in Woodbridge - General Practice
Su-En Chu Thlick - NPI 1255318754
Su-En Chu Thlick is a General Practice in Woodbridge, Virginia. Su-En Chu Thlick practices all healthcare services and medical treatments related to General Practice. The NPI Number for Su-En Chu Thlick is 1255318754. The last update date is 2023-10-23.
Su-En Chu Thlick's current location address is 12701 Marblestone Dr Ste 260, Woodbridge, Virginia. You can contact this provider via phone number 7036702114 and fax number 7034230130. The mailing address for Su-En Chu Thlick is 12701 Marblestone Dr Ste 260, Woodbridge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Su-En Chu Thlick |
|---|---|
| Address | 12701 Marblestone Dr Ste 260, Woodbridge, Virginia |
| Phone Number | 7036702114 |
| Fax Number | 7034230130 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1255318754 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2023-10-23 |
Provider Mailing Address Detail
| Address | 12701 Marblestone Dr Ste 260 |
|---|---|
| City | Woodbridge |
| State | Virginia (VA) |
| Post Code | 221928326 |
| Phone Number | 7036702114 |
| Fax Number | 7034230130 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 401008779 |
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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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What is the unique identifier code issued to Su-En Chu Thlick by the Centers for Medicare & Medicaid Services (CMS)?
The Su-En Chu Thlick has been assigned the NPI (National Provider Identifier) 1255318754. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Su-En Chu Thlick is located?
The Su-En Chu Thlick is situated at the following address: 12701 Marblestone Dr Ste 260, Woodbridge, VA, 221928326.
What is Su-En Chu Thlick's area of expertise and its corresponding taxonomy classification?
The Su-En Chu Thlick's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Su-En Chu Thlick receive the assignment of its 1255318754 from the Centers for Medicare & Medicaid Services?
The Su-En Chu Thlick was issued its 1255318754 by the Centers for Medicare & Medicaid Services on 2005-12-27.
As of what date was the information regarding Su-En Chu Thlick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Su-En Chu Thlick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-23.