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DR. JIE SU DMD
NPI 1891995783
Dentist - Pediatric Dentistry in Plano, TX

Active since July 19, 2007
4500 LEGACY DR, SUITE 300, PLANO, TX 75024(972) 618-2958 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jie Su Dmd NPPES

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

DR. JIE SU DMD (NPI 1891995783) is an individual pediatric dentistry provider in Plano, Texas, licensed in Texas (23596) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1891995783
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JIE SUCredential: DMD
Location Address4500 LEGACY DR, SUITE 300Plano, TX 75024-2179
Mailing Address5736 Northbrook DrPlano, TX 75093-5953 · (972) 992-8068
Phone(972) 618-2958
Sole ProprietorYes
Enumeration DateJuly 19, 2007
Last NPPES UpdateSeptember 27, 2013
✔ NPI 1891995783 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
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Accepted Insurance

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

LEGACY HOUSECALL STAFFING & MANAGEMENT, INC
Family Medicine
4500 LEGACY DR, SUITE 200
PLANO, TX 75024
Collin County (972) 801-2021
JIE SU, DMD, P.A.
Dentist (Pediatric Dentistry)
4500 LEGACY DR, SUITE 300
PLANO, TX 75024
Collin County (972) 618-2958
NORTH DALLAS CHILDRENS CLINIC
Pediatrics
4500 LEGACY DR
PLANO, TX 75024
Collin County (972) 312-1288
ADONAI MEDHEALTH SERVICES, INC
Home Health
4500 LEGACY DR, SUITE 400
PLANO, TX 75024
Collin County (972) 801-2086

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 Jie Su's NPI number?

The NPI number for Jie Su is 1891995783. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Jie Su located?

Jie Su practices at 4500 Legacy Dr Suite 300, Plano, TX 75024. The listed phone number is (972) 618-2958.

What is Jie Su's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jie Su accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Jie 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 Jie Su was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.