Edward S. Suh DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52115 Issued in CA

Legal business name

EDWARD S. SUH DMD INC

Doing business as

Plaza Dental Care

Practice address

8575 Knott Ave
A
Buena Park, CA 90620-3850

Phone

(714) 761-8575

Fax

(714) 761-8030

NPI assigned

Oct 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward S Suh, DMDNPI 1407804172

Title

Ceo

Phone

(714) 761-8575

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PLAZA DENTAL CARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward S. Suh, D.M.D.

  • General Practice Dentistry
  • Buena Park, CA
  • NPI 1407804172
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1164674222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 KNOTT AVE",
            "address_2": "A",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203850",
            "telephone_number": "714-761-8575",
            "fax_number": "714-761-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 KNOTT AVE",
            "address_2": "A",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203850",
            "telephone_number": "714-761-8575",
            "fax_number": "714-761-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD S. SUH DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-761-8575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G9390601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZA DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East-West Medical Wellness
• Ecp Homes, Inc.
• Dianna Edmunds, OTR/L
• Stefani Gitana Edquilang, AMFT
• Edward S. Liu, DDS, Inc.
• Elevate Seniors PC
• Victoria Elizabeth Elias, M.S.,CCC-SLP
• Elite Orthopedic Physical Therapy, Apc
• Elizabeth G. Santos (Elizabeth Homes 1)
• Elizabeth G. Santos, Inc (Elizabeth Homes San Ricardo)

• General Practice Dentistry in Buena Park, CA
• Providers in Buena Park, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.