SOO YOUN SI DDS
NPI 1063962975
Dentist in Sacramento, CA

Q: What is Soo Si's NPI number?

The NPI number for Soo Si is 1063962975. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Q: What is Soo Si's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Soo Si was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2016

40 PARK CITY CT APT 1203, SACRAMENTO, CA 95831(734) 358-4749 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Soo Youn Si Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOO YOUN SI DDS (NPI 1063962975) is an individual dentist in Sacramento, California, licensed in California (DDS100686) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1063962975

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSOO YOUN SICredential: DDS

Location Address40 PARK CITY CT APT 1203Sacramento, CA 95831-3896

Mailing Address40 Park City Ct Apt 1203Sacramento, CA 95831-3896

Phone(734) 358-4749

Sole ProprietorNo

Enumeration DateOctober 4, 2016

✔ NPI 1063962975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · DDS100686

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

40 PARK CITY CT APT 1203, Sacramento, CA 95831

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Other Identifiers 1

OtherXZA994688104MN · Blue Cross, Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HRI Dental & Vision, Paramount, Renaissance Dental.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soo Si's NPI number?

The NPI number for Soo Si is 1063962975. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Soo Si located?

Soo Si practices at 40 Park City Ct Apt 1203, Sacramento, CA 95831. The listed phone number is (734) 358-4749.

What is Soo Si's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Soo Si accept?

Health plans from HRI Dental & Vision, Paramount and Renaissance Dental list Soo Si as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soo Si was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.