STEPHANIE SU DDS PLLC
NPI 1427715184
Dentist - Pediatric Dentistry in Redmond, WA

Active since November 17, 2021
16650 NE 79TH ST STE 100, REDMOND, WA 98052(425) 558-4562 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephanie Su Dds Pllc NPPES

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

STEPHANIE SU DDS PLLC (NPI 1427715184), doing business as Redmond Kids Dentistry, is a healthcare organization registered as a pediatric dentistry in Redmond, Washington and active in the NPI registry since November 2021. The organization lists Erin Hatfield, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1427715184
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSTEPHANIE SU DDS PLLC
Location Address16650 NE 79TH ST STE 100Redmond, WA 98052-4442
Mailing Address16650 Ne 79th St Ste 100Redmond, WA 98052-4442 · (425) 558-4562
Organization SubpartNo
Authorized OfficialErin HatfieldPractice Manager · (425) 558-4562
Enumeration DateNovember 17, 2021
Last NPPES UpdateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
NPI 1427715184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
16650 NE 79TH ST STE 100, Redmond, WA 98052

Other Names 1

Doing Business AsRedmond Kids Dentistry

Other Identifiers 1

Other1134204191Nppes

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Su Dds PLLC's NPI number?

The NPI number for Stephanie Su Dds PLLC is 1427715184. It was assigned to this organization in the NPPES registry on November 17, 2021. The provider is doing business as Redmond Kids Dentistry.

Where is Stephanie Su Dds PLLC located?

Stephanie Su Dds PLLC is located at 16650 NE 79th St Ste 100, Redmond, WA 98052. The listed phone number is (425) 558-4562.

What is Stephanie Su Dds PLLC'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 Su Dds PLLC was last updated on November 18, 2021. 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.