1. Home
  2. Directory
  3. Texas
  4. Plano
  5. Dentist
  6. NPI Profile

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: July 19, 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
Open in Google Maps ↗

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
ADONAI MEDHEALTH SERVICES, INC
Home Health
4500 LEGACY DR, SUITE 400
PLANO, TX 75024
Collin County (972) 801-2086
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

Frequently Asked Questions

What is Jie Su's NPI number?

The NPI number assigned to this healthcare provider is 1891995783, enumerated as an "individual" on July 19, 2007.

Where is the provider located?

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

What is the provider's specialty?

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

What insurance does Jie Su accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.