Advanced Dentistry: Family-Orthodontics-Cosmetics, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20476 Issued in TX

Legal business name

ADVANCED DENTISTRY: FAMILY-ORTHODONTICS-COSMETICS, PLLC

Practice address

4125 Fairway Dr
Suite 135
Carrollton, TX 75010-6505

Phone

(972) 567-7450

NPI assigned

Sep 1, 2011

Last updated

Sep 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tuan Di Su, DDSNPI 1598819625

Title

Manager

Phone

(972) 567-7450

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, and the practitioner matching its NPPES authorized official.

• Tuan Di Su, DDS

  • General Practice Dentistry
  • Carrollton, TX
  • NPI 1598819625
  Authorized official Same address or phone

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1710268941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 FAIRWAY DR",
            "address_2": "SUITE 135",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106505",
            "telephone_number": "972-567-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 FAIRWAY DR",
            "address_2": "SUITE 135",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106505",
            "telephone_number": "972-567-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTISTRY: FAMILY-ORTHODONTICS-COSMETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "DI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-567-7450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadijah Adenwala
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• Selemon Afera Adhana
• Adnan Nadir, M.D.,P.a
• Advanced Alliance DME & Medical Supply
• Advanced Eye Surgical Partners LLC
• Advanced Orthodontic Studio
• Advanced Therapy Services LLC
• Advantage Dentistry of Carrollton PLLC
• Advocate Senior Care LLC

• 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 Sep 1, 2011; 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.