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SHAO-CHING SU D.D.S., PH.D
NPI 1972912061
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since August 04, 2014
263 FARMINGTON AVENUE, FARMINGTON, CT 06030(860) 679-2000 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shao-ching Su D.d.s., Ph.d NPPES

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

SHAO-CHING SU D.D.S., PH.D (NPI 1972912061) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1972912061
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHAO-CHING SUCredential: D.D.S., PH.D
Location Address263 FARMINGTON AVENUEFarmington, CT 06030
Mailing Address263 Farmington Ave # Mc-1725, Uconn Health Center, School Of Dental Medicine (l-7063)Farmington, CT 06030-1725 · (860) 679-2550 · Fax (860) 679-1920
Phone(860) 679-2000
Sole ProprietorNo
Enumeration DateAugust 4, 2014
✔ NPI 1972912061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
263 FARMINGTON AVENUE, Farmington, CT 06030
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Other Providers at the Same Location NPPES 20

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

MAROUN SFEIR
Pathology (Anatomic Pathology)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2980
LISA PETRICCA PA-C
Physician Assistant (Medical)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2100
SHASHANK NAGARAJ PATIL MD
Neurological Surgery
263 FARMINGTON AVENUE, UCONN HEALTH, DEPARTMENT OF SURGERY
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4617
DR. RICHARD KENT WAGNER MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3387
DR. MICHAEL CHRISTOPHER SOBIERAJ MD, PHD
Orthopaedic Surgery
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
DR. ANA ALEYDA MORALES MD
Ophthalmology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3540
DR. AKUA POKUAH SARFO MD/PHD
Dermatology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4600
JENNIFER MARIE GARDNER APRN
Nurse Practitioner (Family)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2100

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 Shao-ching Su's NPI number?

The NPI number for Shao-ching Su is 1972912061. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Where is Shao-ching Su located?

Shao-ching Su practices at 263 Farmington Avenue, Farmington, CT 06030. The listed phone number is (860) 679-2000.

What is Shao-ching Su's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shao-ching Su was last updated on August 4, 2014. 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.