Pacific Dental LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20476 Issued in TX

Legal business name

PACIFIC DENTAL LLP

Practice address

3043 Old Denton Rd Ste 108
Carrollton, TX 75007-5036

Phone

(972) 323-5108

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tuan D Su, DDS

Title

DDS

Phone

(972) 567-7450

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1265651095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 OLD DENTON RD STE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 OLD DENTON RD STE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075036",
            "telephone_number": "972-323-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DENTAL LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "972-567-7450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P.O.W.E.R. (Providing Others With Essential Resources), PLLC
• P&J Dental Care PLLC
• Crystal Jean Pachuca, APRN
• Pacific Dental Care Tuan Di Su DDS PA
• Pacific Dental Center LLC
• Padez Home Health Inc
• Madison Page
• Jeniece Marie Paige
• Sushma Pakalapati
• Shenbagavalli Palaniswamy, M.D

• General Practice Dentistry in Carrollton, TX
• Providers in Carrollton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.