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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FANG-YU SU, DMD

Active

FANG-YU SU, DMD is a Pediatric Dentistry healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1619562543 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · PHILADELPHIA, PA

Registration Details

NPI Number
1619562543
Provider Type
Individual
Gender
Female
NPI Issued
Mar 3, 2021 (5.4785328309455 yrs)
Last Updated
Mar 30, 2021
Licenses
12013481A (IN)
019.032873 (IL)
RFD000042 (PA)

Practice Information

Address
3223 N BROAD ST
PHILADELPHIA, PA, 191405007
Browse PA providers · Browse ZIP 19140
Phone
2155313603
Primary Specialty
Pediatric Dentistry
1223P0700X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in PHILADELPHIA, PA

Name Credential NPI
DR. THOMAS C. BACKENSTOSE JR. DMD 1760465272
DR. LOUIS ANTHONY DIPEDE DMD 1508828443
NAJEED SALEH DMD 1821034588
DR. HARRY RANDEL D.M.D. 1609896182
DR. JOSEPH B BREITMAN D.M.D 1932213287
DR. AARON G SEGAL D.D.S. 1083749675
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.