Stephanie Su Dds Pllc

LBN: Stephanie Su Dds Pllc
Stephanie Su Dds Pllc is an health care organization with primary practice located at 16650 Ne 79Th St Ste 100 , Redmond WA 98052-4442. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Stephanie Su Dds Pllc can be contacted via phone (425) 558-4562, or through Hatfield, Erin via phone (425) 558-4562.

Contact Information

Primary practice address
16650 Ne 79Th St Ste 100 Redmond WA 98052-4442
Phone: (425) 558-4562
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hatfield, Erin
Phone: (425) 558-4562

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1427715184
LBN Legal business name Stephanie Su Dds Pllc
DBA Doing business as
Authorized official Hatfield, Erin
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2021
Last updated Nov 18th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427715184 NPPES
Other 1134204191 NPPES

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