Michael Ian Suk, DDS

General Practice Dentistry · Longview, WA

Individual Active NPI

NPI number 1528824117

Practice location

1057 12TH Ave
Longview, WA 98632-2509
Phone
(360) 414-1300
Fax
(360) 636-4420

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NPI record

NPI
1528824117
Entity type
Individual (Type 1)
Enumeration date
February 22, 2024
Last updated
July 24, 2024
Certified
July 24, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE61560522 WA

About Dr. Suk

Michael Ian Suk, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1057 12TH Ave, Longview, WA 98632-2509. The NPI number 1528824117 was assigned on February 22, 2024 and the record was last updated on July 24, 2024.

Dr. Suk lists a license in the registry: #DE61560522 (WA) 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 Michael Ian Suk, DDS?

The NPI number is 1528824117.

What is the phone number of Dr. Suk?

The phone number listed for the practice location is (360) 414-1300.

Where is Dr. Suk located?

1057 12TH Ave, Longview, WA 98632-2509.

What is the taxonomy code for Dr. Suk?

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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