Tuan Di Su, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20476 Issued in TX

Practice address

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

Phone

(972) 492-5838

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakewood Hills Dental, PLLC

  • General Practice Dentistry
  • Lewisville, TX
  • NPI 1336759596
  NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1598819625",
    "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",
            "telephone_number": "972-567-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 OLD DENTON RD",
            "address_2": "STE. 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075036",
            "telephone_number": "972-492-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "TUAN",
        "middle_name": "DI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20476",
            "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": []
}

• Jennifer Kristine Stringfellow
• Astrid Paola Strong, LPC-ASSOCIATE
• Cynthia Rogers Stuart, DO
• Styln Impressions Salon LLC (Raw Impressions Certified Hair Replacement)
• Daphne Su, LAC
• Julie Anne Sudderth, M.S., CCC-SLP
• Heewon Suh, PHARM. D.
• Jung Suh
• Samantha Y Suh, RPH
• Suha Dental PLLC (D'Art Dental Clinic)

• 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.