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Jie Su, Dmd, P.a.
Pediatric Dentist in Plano, Texas
NPI 1437429529

Jie Su, Dmd, P.a. is a Pediatric Dentist based in Plano, TX and is specialized in Pediatric Dentistry. Jie Su, Dmd, P.a. practices in Plano, TX. The NPI Number for Jie Su, Dmd, P.a. is 1437429529 and holds a License No. 23596 (Texas).

The current practice location address for Jie Su, Dmd, P.a. is 4500 Legacy Dr, Plano, TX and can be reached out via phone at 972-618-2958. You can also correspond with Jie Su, Dmd, P.a. through the mailing address at 4500 LEGACY DR, PLANO, TX - 75024-2179 (mailing address contact number: 972-618-2958).

Location: 4500 Legacy Dr, Plano, TX, 75024-2179
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437429529
Provider Name
Jie Su, Dmd, P.a.
Credential
Provider Entity Type
Organization
Address
4500 Legacy Dr, Plano, TX, 75024-2179
Phone Number
972-618-2958
Fax Number
Provider Enumeration Date
01/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4500 Legacy Dr
City
Plano
State
Texas
Zip
75024-2179
Phone Number
972-618-2958
Fax Number
person
Provider Business Mailing Address Details
Address
4500 Legacy Dr
City
Plano
State
Texas
Zip
75024-2179
Phone Number
972-618-2958
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
23596 (Texas)
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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