Quinn Su, DDS, a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42238 Issued in CA

Legal business name

QUINN SU, DDS, A PROFESSIONAL DENTAL CORPORATION

Practice address

2107 Van Ness Ave Ste 406
San Francisco, CA 94109-2536

Phone

(415) 922-2298

Fax

(415) 922-0298

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Quinn SuNPI 1972715134

Title

President

Phone

(415) 922-2298

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Quinn Su, D.D.S.

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1972715134
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376634063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 VAN NESS AVE STE 406",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941092536",
            "telephone_number": "415-922-2298",
            "fax_number": "415-922-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 VAN NESS AVE STE 406",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941092536",
            "telephone_number": "415-922-2298",
            "fax_number": "415-922-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINN SU, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "QUINN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-922-2298",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Channing Quilici
• Laura Quill, NP
• Cameron Quillian, D.C
• Bailey Quinlan
• Bridget Quinlan
• Mary C Quinn-Dollar, NURSE PRACTITIONER
• Agnes Lenahan Quinn, PHD
• Alexander Darahn Quinn
• Cullen Quinn
• Elizabeth Anne Quinn

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, 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 Aug 22, 2020; 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.