Stephanie M Su in Redmond - Pediatric Dentistry
Stephanie M Su - NPI 1134204191
Stephanie M Su is a Pediatric Dentistry in Redmond, Washington. Stephanie M Su practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Stephanie M Su is 1134204191. The last update date is 2007-07-08.
Stephanie M Su's current location address is 16650 Ne 79th St, Redmond, Washington. You can contact this provider via phone number 4255584562 and fax number 4255584572. The mailing address for Stephanie M Su is 16650 Ne 79th St, Redmond, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie M Su |
|---|---|
| Address | 16650 Ne 79th St, Redmond, Washington |
| Phone Number | 4255584562 |
| Fax Number | 4255584572 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1134204191 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16650 Ne 79th St |
|---|---|
| City | Redmond |
| State | Washington (WA) |
| Post Code | 980524442 |
| Phone Number | 4255584562 |
| Fax Number | 4255584572 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DE00009811 |
|
Definition: 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. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stephanie M Su by the Centers for Medicare & Medicaid Services?
The Stephanie M Su has been assigned the NPI (National Provider Identifier) 1134204191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Stephanie M Su is geographically located?
The Stephanie M Su is physically situated at the following location: 16650 Ne 79Th St, Redmond, WA, 980524442.
What is Stephanie M Su's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephanie M Su's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When was the Stephanie M Su's 1134204191 issued?
The Stephanie M Su's 1134204191 was issued on 2006-10-26.
When was the information pertaining to Stephanie M Su most recently updated or revised?
The details related to Stephanie M Su, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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