Su, Tuan Di
Su, Tuan Di is an individual health care provider with primary practice located at 3043 Old Denton Rd Ste. 108, Carrollton TX 75007-5036. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Su, Tuan Di can be contacted via phone (972) 492-5838.Contact Information
Primary practice address
3043 Old Denton Rd Ste. 108
Carrollton TX 75007-5036
Phone: (972) 492-5838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 20476 | Texas |
Profile Details
| NPI number | 1598819625 |
|---|---|
| LBN Legal business name | Su, Tuan Di |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Aug 21st, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598819625 | NPPES |
| Texas | MEDICAID | 144548802 | |
| Texas | MEDICAID | 149824801 |
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