JOLYN A. SU, DDS, PLLC (NPI# 1134577893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134577893 |
| Entity Type | Organization |
| Organization Name | JOLYN A. SU, DDS, PLLC |
| Practice Address |
1426 112th Ave Ne Bellevue WA 98004-3710 |
| Practice Telephone | 4254552370 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| Authorized Official Name | JOLYN SU (MEMBER) |
| Authorized Official Telephone | 4252467230 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE10326 | WA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | JOLYN A. SU, DDS, PLLC | 1426 112th Ave Ne, Bellevue, WA 98004-3710 |
| Street Address |
1426 112TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013070317 | Jolyn Su | Dentist | 1426 112th Ave Ne, Bellevue, WA 98004-3710 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864301 | Ruei-hua Wang | Dentist | 1545 116th Ave Ne Ste 100, Bellevue, WA 98004-3813 | 2020-09-08 |
| 1043774599 | Priyanka Sharma,dds,pllc | Dentist | 14655 Ne Bel Red Rd Ste 104, Bellevue, WA 98007-3900 | 2019-01-29 |
| 1750819959 | Xue Du | Dentist | 15613 Bel Red Rd Ste C, Bellevue, WA 98008-2348 | 2017-06-01 |
| 1235582545 | Jensen & Brown, Dds | Dentist | 11 105th Ave Se Ste 11, Bellevue, WA 98004-6281 | 2016-07-21 |
| 1366890139 | Zalak Daftary | Dentist | 12245 Ne 3rd Pl, Bellevue, WA 98005-4821 | 2016-06-02 |
| 1659735199 | F Dahm Dds Pllc | Dentist | 1951 152nd Pl Ne Ste 108, Bellevue, WA 98007-4209 | 2016-04-11 |
| 1174923817 | Hyunji Byun | Dentist | 5723 111th Ave Se, Bellevue, WA 98006-2609 | 2014-08-29 |
| 1225447436 | Quirt Family Dentistry, Sc | Dentist | 2014 Lime Kiln Rd, Suite 300, Bellevue, WI 54311 | 2014-08-13 |
| 1679904353 | David Aronowitz | Dentist | 3006 Northup Way Ste 102, Bellevue, WA 98004-1445 | 2013-12-06 |
| 1407291537 | Lake Bellevue Dental Care, Inc | Dentist | 1 Lake Bellevue Dr Ste 108, Bellevue, WA 98005-2417 | 2013-05-02 |
| Find all providers in BELLEVUE | ||||
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| 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.