Judy Hsu, DDS
Individual provider Active NPI Dentist · Oakland, FL
NPI 1124285820 · NPPES record last updated Apr 5, 2026
Key facts
- NPI
- 1124285820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30.028108 (OH)
- Practice address
- 301 S Tubb St Ste D2
Oakland, FL 34760-8859 - Phone
- (407) 347-2166
- Fax
- (407) 347-2566
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170523001864 | FL | Order and Referring Only - Dentist |
7214204239 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3701 | AR | MD | Dentist |
| 19631 | FL | MD | Dentist |
| 13532 | MD | MD | Dentist |
| 30.028108 | OH | MD | Dentist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Dental P.a. | Dentist | Past |
Accepting new patients |
| Coast Dental P.a. | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3701 | AR | |
| Dentist | 122300000X | 30.028108 | OH | Yes |
| Dentist | 122300000X | 13532 | MD | |
| Dentist | 122300000X | 19631 | FL |
Addresses
Primary practice location
301 S Tubb St Ste D2
Oakland, FL 34760-8859
Mailing address
10450 Turkey Lake Rd Unit 690204
Orlando, FL 32869-7511
Phone (410) 608-2123
Other providers in Oakland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.