1. Home
  2. Directory
  3. Washington
  4. Kenmore
  5. Dentist
  6. NPI Profile

PU YU SU
NPI 1720633837
Dentist in Kenmore, WA

Active since August 06, 2019
5723 NE BOTHELL WAY STE A, KENMORE, WA 98028(206) 525-2813 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2025, Aug 6, 2019 (2 updates tracked since 2019).

About Pu Yu Su NPPES

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

PU YU SU (NPI 1720633837) is an individual dentist in Kenmore, Washington, licensed in Washington (61673321) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1720633837
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NamePU YU SU
Location Address5723 NE BOTHELL WAY STE AKenmore, WA 98028-9404
Mailing Address5723 Ne Bothell Way Ste AKenmore, WA 98028-9404 · (206) 525-2813
Phone(206) 525-2813
Sole ProprietorNo
Enumeration DateAugust 6, 2019
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1720633837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in WA · 61673321✔ Licensed in AZ · D010409
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.
5723 NE BOTHELL WAY STE A, Kenmore, WA 98028
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

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

QUIRT, MONGRAIN, GIBREE, P.C.
Dentist (General Practice)
5723 NE BOTHELL WAY STE A
KENMORE, WA 98028
King County (206) 525-2813

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 Pu Yu Su's NPI number?

The NPI number for Pu Yu Su is 1720633837. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Pu Yu Su located?

Pu Yu Su practices at 5723 NE Bothell Way Ste A, Kenmore, WA 98028. The listed phone number is (206) 525-2813.

What is Pu Yu Su's specialty?

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

What insurance does Pu Yu Su accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 6 other insurers list Pu Yu 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 Pu Yu Su was last updated on May 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.