Jenny Tu, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JENNY TU, DDS

Doing business as

Little Smiles Dental

Practice address

3735 Davis Dr Ste 125
Morrisville, NC 27560-8907

Phone

(919) 439-9998

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Jenny TuNPI 1265695597

Title

Owner

Phone

(919) 439-9998

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Little Smiles Dental Doing business as

Practitioners 1

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

• Jenny Tu, DDS

  • Pediatric Dentistry
  • Morrisville, NC
  • NPI 1265695597
  NPD (past) Authorized official

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1639732753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 DAVIS DR STE 125",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608907",
            "telephone_number": "919-439-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 DAVIS DR STE 125",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608907",
            "telephone_number": "919-439-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY TU, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "TU",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-439-9998"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265695597",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Ann Ivancic, OTR/L
• Latoya Jackson, CBC
• Maria Y Jamal, PHARMD
• Janet Heuring (Athena Psychological Services)
• Nasseeb Ameen Jaroush
• Julie Jesiolowski, M.S., CGC
• David Johnson
• Melissa Depaoli Johnson, PHARMD
• Candace Jolly
• Zachary Tracy Jones, DPT, PT

• Pediatric Dentistry in Morrisville, NC
• Providers in Morrisville, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.