Edmond W Suh DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

7092 Issued in NC

Legal business name

EDMOND W SUH DDS PA

Practice address

1711 S Main Street
Wake Forest, NC 27587-9287

Phone

(919) 556-6200

Fax

(919) 556-0699

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edmond W Suh, DDSNPI 1205844289

Title

President

Phone

(919) 556-6200

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.

• Edmond Won Suh, DDS

  • Dentist
  • Wake Forest, NC
  • NPI 1205844289
  NPD (past) Authorized official

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1982876926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S MAIN STREET",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879287",
            "telephone_number": "919-556-6200",
            "fax_number": "919-556-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S MAIN STREET",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879287",
            "telephone_number": "919-556-6200",
            "fax_number": "919-556-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND W SUH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-556-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Dyjewski, LCMHCS
• Dynamic Healthcare Solutions, Inc.
• Mackenzie Edwards Dziedzic, OD
• Derek Paul Easley, LCSW
• Edc Drug Stores Inc
• Rizza Magbuhat Edradan, CSR, RDN, LDN
• Prina Patel Edralin, FNP-BC
• Clyde Richard Edwards, PA-C
• Sarah Kiefer Edwards
• Katherine Melina Ei, PT, DPT

• Dentist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.