A SMILE PEDIATRIC DENTISTRY
NPI 1437429529
Dentist - Pediatric Dentistry in Plano, TX

Active since January 05, 2012
4500 LEGACY DR, SUITE 300, PLANO, TX 75024(972) 618-2958 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About A Smile Pediatric Dentistry NPPES

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

A SMILE PEDIATRIC DENTISTRY (NPI 1437429529) is a healthcare organization registered as a pediatric dentistry in Plano, Texas and active in the NPI registry since January 2012. The organization lists Jie Su, President, as its authorized official.

NPPES Registry Identity

NPI1437429529
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJIE SU, DMD, P.A.
Location Address4500 LEGACY DR, SUITE 300Plano, TX 75024-2179
Mailing Address4500 Legacy Dr, Suite 300Plano, TX 75024-2179 · (972) 618-2958
Organization SubpartNo
Authorized OfficialJie SuPresident · (972) 618-2958
Enumeration DateJanuary 5, 2012
Last NPPES UpdateMarch 17, 2017
NPI 1437429529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 23596
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.

4500 LEGACY DR, Plano, TX 75024

Other Names 1

Doing Business AsA Smile Pediatric Dentistry

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

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Family Medicine
4500 LEGACY DR, SUITE 200
PLANO, TX 75024
Dentist (Pediatric Dentistry)
4500 LEGACY DR, SUITE 300
PLANO, TX 75024
Home Health
4500 LEGACY DR, SUITE 400
PLANO, TX 75024
Pediatrics
4500 LEGACY DR
PLANO, TX 75024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437429529, enumerated as an "organization" on January 05, 2012.

The provider is located at 4500 LEGACY DR SUITE 300 PLANO, TX 75024 and the phone number is (972) 618-2958.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.