Huan Su, DDS | |
2302 S Union Ave, Building C Suite 22, Tacoma, WA 98405-1300 | |
(253) 752-6336 | |
Not Available |
Full Name | Huan Su |
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Gender | Male |
Speciality | Dentist - Periodontics |
Location | 2302 S Union Ave, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1194058669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE60101496 (Washington) | Secondary |
1223P0300X | Dentist - Periodontics | DE60101496 (Washington) | Primary |
Entity Name | H Todd Su Dds Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861748766 PECOS PAC ID: 7214309509 Enrollment ID: O20230215000344 |
Mailing Address | Practice Location Address |
---|---|
Huan Su, DDS 1400 Lake Washington Blvd N, Apt A302, Renton, WA 98056-2564 Ph: (425) 988-4755 | Huan Su, DDS 2302 S Union Ave, Building C Suite 22, Tacoma, WA 98405-1300 Ph: (253) 752-6336 |
Dr. Chad W Smart, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2302 S Union Ave, Ste B-14, Tacoma, WA 98405 Phone: 253-752-3949 Fax: 253-752-6392 | |
Giovanna Dainty, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9900 Lincoln Street Us Army Dental Health Activity Jblm, Tacoma, WA 98431 Phone: 717-598-3221 | |
Dr. Joseph Stephen Coward, DMD,M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg 9900, 2nd Floor, U.s. Army Dental Activity - Ft Lewis, Tacoma, WA 98431 Phone: 253-968-4039 Fax: 253-968-5919 | |
Kuzi S Hsue, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2115 South 56th St, Suite 202, Tacoma, WA 98409 Phone: 253-473-4303 Fax: 253-473-0201 | |
David Robert Steiner, DDS MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4050 South 19th Street, Suite 102, Tacoma, WA 98405 Phone: 253-752-5511 | |
Dr. Brent Alan Sorenson, DDS Dentist Medicare: Medicare Enrolled Practice Location: Bldg 9900, 2nd Floor, U.s. Army Dental Activity - Fort Lewis, Tacoma, WA 98431 Phone: 253-968-4039 Fax: 253-968-5919 | |
Dr. Tiffany Lamberton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2522 N Proctor St # 29, Tacoma, WA 98406 Phone: 909-362-3742 |