Yuehang Su, DMD, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YUEHANG SU, DMD, PLLC

Doing business as

Jenny Su DMD Family and Cosmetic Dentistry

Practice address

1309 Still Monument Way
Raleigh, NC 27603-3493

Phone

(321) 276-4231

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Yuehang Su, DMD

Title

Manager

Phone

(321) 276-4231

Specialties & licenses 1

Addresses

Other names 1

• Jenny Su DMD Family and Cosmetic Dentistry Doing business as

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1730751678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 STILL MONUMENT WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033493",
            "telephone_number": "321-276-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 STILL MONUMENT WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033493",
            "telephone_number": "321-276-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUEHANG SU, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "YUEHANG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-276-4231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenny Su DMD Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kelly Michelle Yow, DNP, FNP-C
• I-Ling Yu, PA-C
• Basil Michael Yurcisin II, M.D.
• Z2 Legacy PLLC
• Tika Bienvenu Zabalou, CNA
• Sonya Zaghloul, M.ED CCC-SLP
• Loghman Zaiim, M.D.

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.