Jack Su, D.D.S.

General Practice Dentistry · Buffalo, NY

Individual Active NPI

NPI number 1326134941

Practice location

1950 Sheridan Dr.
5e
Buffalo, NY 14223-1240
Phone
(716) 875-3660

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NPI record

NPI
1326134941
Entity type
Individual (Type 1)
Enumeration date
October 4, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 049306 NY

About Dr. Su

Jack Su, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1950 Sheridan Dr., 5e, Buffalo, NY 14223-1240. The NPI number 1326134941 was assigned on October 4, 2006 and the record was last updated on July 8, 2007.

Dr. Su lists a license in the registry: #049306 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Su, D.D.S.?

The NPI number is 1326134941.

What is the phone number of Dr. Su?

The phone number listed for the practice location is (716) 875-3660.

Where is Dr. Su located?

1950 Sheridan Dr., 5e, Buffalo, NY 14223-1240.

What is the taxonomy code for Dr. Su?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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