DR. ETHAN SUH


Address: 1901 S 1st St, Temple, TX 76504-7451
Phone: 2547784811

DR. ETHAN SUH (NPI# 1003441890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003441890
Entity Type Individual
Full Name DR. ETHAN SUH
Credential DDS
Practice Address 1901 S 1st St
Temple
TX 76504-7451
Mailing Address 507 Marlandwood Rd Apt 715
Temple
TX 76502-0091
Practice Telephone 2547784811
Mailing Telephone 2147904691
Enumeration Date 2020-03-11
Last Update Date 2020-03-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
35774 TX Dental Providers

Office Location

Street Address 1901 S 1ST ST
City TEMPLE
State TX
Zip Code 76504-7451

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194332858 Lindsey Theda Dentist 1901 S 1st St, Temple, TX 76504-7451 2020-09-28
1598309759 Kayla A Bunn Registered Nurse 1901 S 1st St, Temple, TX 76504-7451 2019-10-31
1720630478 Samrat Shrestha Pharmacist 1901 S 1st St, Temple, TX 76504-7451 2019-07-12
1396203725 Latasha T Merkerson-miller Counselor 1901 S 1st St, Temple, TX 76504-7451 2019-03-05
1205305075 Paul Lanciault Orthotist 1901 S 1st St, Temple, TX 76504-7451 2018-11-21
1790278497 Shaylise Ellis Nurse Practitioner 1901 S 1st St, Temple, TX 76504-7451 2018-06-07
1558874131 Kellyn Marie Czajkowski Dietitian, Registered 1901 S 1st St, Temple, TX 76504-7451 2017-11-06
1124553805 Stephanie Carter Nurse Practitioner 1901 S 1st St, Temple, TX 76504-7451 2017-05-01
1578013835 Steven Braun Pharmacist 1901 S 1st St, Temple, TX 76504-7451 2016-10-11
1891245320 Shenira Becker Psychologist 1901 S 1st St, Temple, TX 76504-7451 2016-10-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194243717 Courtenay A Eddins Occupational Therapy Assistant 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 2017-09-04
1891213500 Melody Woods Physical Therapy Assistant 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 2017-09-01
1194255992 Elizabeth Ford Radiology 202 Woodbridge Blvd 247, Temple, TX 76504 2017-06-14
1790223055 Dinella Quinones Specialist/Technologist 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 2017-02-07
1194277400 Trina Morton Specialist 5297 S 31st Suite117a, Temple, TX 76504 2016-11-03
1134570922 Plains Er Management Temple Ltd Clinic/Center 1551 W. Central Ave, Temple, TX 76504 2016-06-23
1962853770 Express Er Temple, P.a. Emergency Medicine 1551 W. Central Avenue, Temple, TX 76504 2016-06-23
1306262548 Nancy Lynne Sykes Counselor 2027 S 61st St Ste 121, Temple, TX 76504 2014-03-12
1972930683 Taneka L Patrick Social Worker 2820 W Avenue O Ste B, Temple, TX 76504 2013-09-27
1255645990 Mary Jane Ireland Nurse Practitioner 1901 Veterans Memorial Blvd, Temple, TX 76504 2010-08-05
Find all providers in zip 76504

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437761319 Erin Lee Kern Dentist 3550 S General Bruce Dr Ste D103, Temple, TX 76504-5138 2020-08-20
1275167488 Luong Dental, LLC Dentist 5297 S. 31st Street, Ste 111, Temple, TX 76502 2020-02-26
1093357931 Ryan T Stephens Dmd Pllc Dentist 5408 W. Adams Suite 102, Temple, TX 76502 2019-10-11
1053963967 Mousami Surapaneni Dentist 3108 S 31st St Ste 2108, Temple, TX 76502-1803 2019-07-11
1689235038 Bruce Total Dental and Orthodontics Pllc Dentist 3809 S General Bruce Dr Ste 104, Temple, TX 76502-1038 2019-06-26
1265925721 Sharon Kuriakose Iype Dentist 3108 S 31st St Ste 3108, Temple, TX 76502-1803 2018-06-10
1710409586 Lynda My Nguyen Dentist 7410 W Adams Ave, Temple, TX 76502-5891 2017-07-12
1225562820 Qtl Dental Pllc Dentist 121 N 31st St, Suite A, Temple, TX 76504-2421 2017-04-20
1346607314 Quang Luong Dentist 5297 S 31st St Ste 111, Temple, TX 76502-3515 2016-01-21
1780073627 Sungjoon T Koo Dentist 10252 W Adams Ave Ste 101, Temple, TX 76502-5849 2015-01-15
Find all providers in TEMPLE

Competitor

Search similar providers

City TEMPLE
Zip Code 76504

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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