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Dr. Jack Su, DDS
General Practice Dentistry in Buffalo, New York
NPI 1326134941

Jack Su is a General Practice Dentistry based in Buffalo, NY and is specialized in General Practice. Jack Su practices in Buffalo, NY and has the professional credentials of DDS. The NPI Number for Jack Su is 1326134941 and holds a License No. 049306 (New York).

The current practice location address for Jack Su is 1950 Sheridan Dr., Buffalo, NY and can be reached out via phone at 716-875-3660.

Location: 1950 Sheridan Dr., Buffalo, NY, 14223-1240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326134941
Provider Name
Jack Su
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1950 Sheridan Dr., Buffalo, NY, 14223-1240
Phone Number
716-875-3660
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02164125 05 NY
institution
Provider Business Practice Location Address Details
Address
1950 Sheridan Dr.
City
Buffalo
State
New York
Zip
14223-1240
Phone Number
716-875-3660
Fax Number
person
Provider Business Mailing Address Details
Address
1950 Sheridan Dr.
City
Buffalo
State
New York
Zip
14223-1240
Phone Number
716-875-3660
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
049306 (New York)
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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