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KATHERINE SU DDS
NPI 1396631982
Dentist in Campbellsport, WI

Active since June 18, 2025
130 N FOND DU LAC AVE, CAMPBELLSPORT, WI 53010(920) 533-8512 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Su Dds NPPES

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

KATHERINE SU DDS (NPI 1396631982) is an individual dentist in Campbellsport, Wisconsin, licensed in Wisconsin (6001848-15) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1396631982
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKATHERINE SUCredential: DDS
Location Address130 N FOND DU LAC AVECampbellsport, WI 53010-2787
Mailing Address130 N Fond Du Lac AveCampbellsport, WI 53010-2787
Phone(920) 533-8512
Sole ProprietorNo
Enumeration DateJune 18, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1396631982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6001848-15
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.
130 N FOND DU LAC AVE, Campbellsport, WI 53010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMPBELLSPORT FAMILY DENTISTRY, LLC
Clinic/Center (Dental)
130 N FOND DU LAC AVE
CAMPBELLSPORT, WI 53010
Fond Du Lac County (920) 533-8512
RONALD MOOS DDS
Dentist
130 N FOND DU LAC AVE
CAMPBELLSPORT, WI 53010
Fond Du Lac County (920) 533-8512

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 Katherine Su's NPI number?

The NPI number for Katherine Su is 1396631982. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Katherine Su located?

Katherine Su practices at 130 N Fond Du Lac Ave, Campbellsport, WI 53010. The listed phone number is (920) 533-8512.

What is Katherine Su's specialty?

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

What insurance does Katherine Su accept?

Health plans from Delta Dental of Wisconsin, Inc. list Katherine Su 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 Katherine Su was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.