Pacific Dental Care Tuan Di Su DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PACIFIC DENTAL CARE TUAN DI SU DDS PA

Practice address

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

Phone

(972) 492-5838

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Tuan D Su, DDS

Title

DDS

Phone

(972) 567-7450

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1275687212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 OLD DENTON RD",
            "address_2": "SUITE 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",
            "address_2": "SUITE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075036",
            "telephone_number": "972-492-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DENTAL CARE TUAN DI SU DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "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_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144548802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149824801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Daniel Ozuna
• P Dental Center LC
• P.O.W.E.R. (Providing Others With Essential Resources), PLLC
• P&J Dental Care PLLC
• Crystal Jean Pachuca, APRN
• Pacific Dental Center LLC
• Pacific Dental LLP
• Padez Home Health Inc
• Madison Page
• Jeniece Marie Paige

• 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.