Active NPIIndividual providerSole proprietor

Dr. Leon Y Su, DDS

Dentist, General Practice in Harrison, New Jersey

NPI Number1881941300
Practice location
633 Central Ave Apt 2, Harrison, NJ 07029-1216
Fax
—
Last updated
August 15, 2012

Leon Yu Liang Su is a Dentist, General Practice based in Harrison, NJ. Leon Yu Liang Su practices in Harrison, NJ and has the professional credentials of DDS. The NPI Number for Leon Yu Liang Su is 1881941300 and holds a License No. DI25123 (NJ). The current practice location address for Leon Yu Liang Su is 633 Central Ave Apt 2, Harrison, NJ 07029-1216 and can be reached out via phone at 714-510-1737.

Provider Profile Details

NPI Number
1881941300
Provider Name
Leon Yu Liang Su
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
633 Central Ave Apt 2, Harrison, NJ 07029-1216
Phone Number
714-510-1737
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 15, 2012
Last Update Date
August 15, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
633 Central Ave Apt 2
Harrison, NJ 07029-1216
Zip
07029-1216
Phone Number
714-510-1737
Harrison, NJ 07029Get directions →

Provider Business Mailing Address Details

Address
633 Central Ave Apt 2
Harrison, NJ 07029-1216
City
Harrison
State
NJ
Zip
07029-1216
Phone Number
714-510-1737

License Information

License Number
DI25123
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Leon Y Su, DDS?

The NPI number of Dr. Leon Y Su, DDS is 1881941300. It was assigned on August 15, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Leon Y Su, DDS?

Dr. Leon Y Su, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI25123.

Where does Dr. Leon Y Su, DDS practice?

The practice location is 633 Central Ave Apt 2, Harrison, NJ 07029-1216. The office can be reached at 714-510-1737 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881941300 directly on the NPPES registry website.

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