| J. Michael Su D.d.s., P.a. | |
|
6655 Greatwood Pkwy Sugar Land TX 77479-6314 | |
| (281) 341-5116 | |
| (581) 341-5126 |
| Full Name | J. Michael Su D.d.s., P.a. |
|---|---|
| Speciality | Dentist |
| Location | 6655 Greatwood Pkwy, Sugar Land, Texas |
| Authorized Official Name and Position | John Michael Su (PRESIDENT) |
| Authorized Official Contact | 2813415116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Michael Su D.d.s., P.a. 6655 Greatwood Pkwy Sugar Land TX 77479-6314 Ph: (281) 341-5116 | J. Michael Su D.d.s., P.a. 6655 Greatwood Pkwy Sugar Land TX 77479-6314 Ph: (281) 341-5116 |
| NPI Number | 1801002282 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801002282 | NPI | - | NPPES |
| 090763601 | Medicaid | TX | |
| 009882401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19092 (Texas) | Primary |
Dental Specialist Of Texas Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15200 Southwest Fwy Ste 120, Sugar Land, TX 77478 Phone: 281-494-2477 | |
Avalon Dental Group, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 Williams Trace Blvd, Ste 108, Sugar Land, TX 77478 Phone: 281-240-5559 Fax: 281-240-5557 |