STEPHANIE LIANE SUE DMD
NPI 1386103521
Dentist - Pediatric Dentistry in Newbury Park, CA

Q: What is Stephanie Sue's NPI number?

The NPI number for Stephanie Sue is 1386103521. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Stephanie Sue's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Sue was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 18, 2019

2277 MICHAEL DR STE 2, NEWBURY PARK, CA 91320(805) 498-2802 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2022, Mar 18, 2019 (2 updates tracked since 2019).

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About Stephanie Liane Sue Dmd NPPES

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

STEPHANIE LIANE SUE DMD (NPI 1386103521) is an individual pediatric dentistry provider in Newbury Park, California, licensed in California (DDS105961) and active in the NPI registry since March 2019. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1386103521

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameSTEPHANIE LIANE SUECredential: DMD

Location Address2277 MICHAEL DR STE 2Newbury Park, CA 91320-3263

Mailing Address2277 Michael Dr Ste 2Newbury Park, CA 91320-3263 · (805) 728-5739

Phone(805) 498-2802

Sole ProprietorNo

Enumeration DateMarch 18, 2019

Last NPPES UpdateMay 24, 20222 updates tracked since enumeration

NPPES CertifiedMay 24, 2022

✔ NPI 1386103521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · DDS105961

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2277 MICHAEL DR STE 2, Newbury Park, CA 91320

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Secondary Practice Location 1

Location 1225 E Chicago AveChicago, IL 60611-2991 · Phone (312) 227-4000

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 Stephanie Sue's NPI number?

The NPI number for Stephanie Sue is 1386103521. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Stephanie Sue located?

Stephanie Sue practices at 2277 Michael Dr Ste 2, Newbury Park, CA 91320. The listed phone number is (805) 498-2802.

What is Stephanie Sue's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Stephanie Sue was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.