MINGFANG SU DMD
NPI 1629123120
Dentist - Periodontics in Brookline, MA

Q: What is Mingfang Su's NPI number?

The NPI number for Mingfang Su is 1629123120. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Mingfang Su's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Mingfang Su was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 24, 2007

1330 BEACON ST STE 247, BROOKLINE, MA 02446(617) 738-8033 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mingfang Su Dmd NPPES

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

MINGFANG SU DMD (NPI 1629123120) is an individual periodontics provider in Brookline, Massachusetts, licensed in Massachusetts (18010) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1629123120

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameMINGFANG SUCredential: DMD

Location Address1330 BEACON ST STE 247Brookline, MA 02446-3200

Mailing Address1330 Beacon St Ste 247Brookline, MA 02446-3200 · (617) 738-8033

Phone(617) 738-8033

Sole ProprietorYes

Enumeration DateJanuary 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629123120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MA · 18010

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1330 BEACON ST STE 247, Brookline, MA 02446

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.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 Mingfang Su's NPI number?

The NPI number for Mingfang Su is 1629123120. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Mingfang Su located?

Mingfang Su practices at 1330 Beacon St Ste 247, Brookline, MA 02446. The listed phone number is (617) 738-8033.

What is Mingfang Su's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Mingfang Su accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Mingfang 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 Mingfang Su was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.