FANG-YU SU
Dentist (Prosthodontics)

Address: 3223 N Broad St, Philadelphia, PA 19140-5007

FANG-YU SU (NPI# 1619562543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619562543
Entity Type Individual
Full Name FANG-YU SU
Gender Female
Credential DMD
Practice Address 3223 N Broad St
Philadelphia
PA 19140-5007
Practice Telephone 2155313603
Mailing Address 248 Race St Apt Rear
Philadelphia
PA 19106-2063
Mailing Telephone 2155313603
Certification Date 2021-03-03
Enumeration Date 2021-03-03
Last Update Date 2021-03-03
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
N 1223P0700X Dentist
Specialization: Prosthodontics
019.032873 IL Dental Providers
N 1223P0700X Dentist
Specialization: Prosthodontics
12013481A IN Dental Providers
Y 1223P0700X Dentist
Specialization: Prosthodontics
RFD000042 PA Dental Providers

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address fang-yu.su@temple.edu (School email) 3223 N Broad St, Philadelphia, PA 191405007 Direct Other Philadelphia

Office Location

Street Address 3223 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-5007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992313357 Amir Maki Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2020-07-21
1386252070 Maria Jun Dentist · Endodontics 3223 N Broad St, Philadelphia, PA 19140-5007 2020-07-19
1407464423 Ping Wang Dentist · General Practice 3223 N Broad St, Philadelphia, PA 19140-5007 2020-07-15
1104450535 Vladimir Flys Dentist · General Practice 3223 N Broad St, Philadelphia, PA 19140-5007 2020-02-25
1366090094 Nicholas Bizzaro Dentist · General Practice 3223 N Broad St, Philadelphia, PA 19140-5007 2019-08-27
1619537743 Thomas Adel Student in an Organized Health Care Education/Training Program 3223 N Broad St, Philadelphia, PA 19140-5007 2019-06-20
1972163897 Divya Trikannad Student in an Organized Health Care Education/Training Program 3223 N Broad St, Philadelphia, PA 19140-5007 2019-06-13
1588221717 Joseph Leonard Mustazza Dentist · Periodontics 3223 N Broad St, Philadelphia, PA 19140-5007 2019-05-22
1790341048 Gregory Ramirez Student in an Organized Health Care Education/Training Program 3223 N Broad St, Philadelphia, PA 19140-5007 2019-05-13
1073074365 Mustafa A Badi Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2019-03-28
Find all providers in the same address

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013308279 Daniel Ward Boston · Daniel Boston Dentist 3223 North Broad Street, Temple University Kornberg School of Dentistry, Philadelphia, PA 19140-5007 2015-02-10
1649566738 Temple University Kornberg School of Dentistry Community Dental Clinic Clinic/Center · Dental 3223 N. Broad St., Philadelphia, PA 19140-5007 2011-06-27
1790917243 Temple University of The Commonwealth System of Higher Education · Temple Foot and Ankle Institute Podiatrist · Foot & Ankle Surgery 3223 N. Broad Street, Suite 150, Philadelphia, PA 19140-5007 2009-08-18

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1245822055 Christie Diveterano Thoracic Surgery (Cardiothoracic Vascular Surgery) 3401 N. Broad Street, Philadelphia, PA 19140 2021-02-03
1225640519 Desirea Grant Registered Nurse · Home Health 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1861019507 Juan Bedoya Internal Medicine 3401 N Broad St, Philadelphia, PA 19140 2020-06-29
1740807718 Vilmarie Torres Homemaker 149 W Luray Street, 1st Floor, Philadelphia, PA 19140 2020-06-25
1619592169 Eric Joseph Curran Emergency Medicine Temple University Hospital, 3401 N. Broad St., Philadelphia, PA 19140 2020-06-10
1801419049 Clairissa Mulloy Surgery Temple University Hospital, 3401 N. Broad Street, Philadelphia, PA 19140 2020-05-22
1831719657 Matthew Gerard Korber Pharmacist 3401 N Broad St, Attn: Outpatient Pharmacy, Philadelphia, PA 19140 2020-04-22
1528698578 Katie Lynn Tercha Nurse Practitioner 3401 N Broad Street, Boyer Pavilion - Cardiac Surgery, Philadelphia, PA 19140 2020-01-17
1598318008 Hillel Sarel Maresky Radiology · Diagnostic Radiology 3401 N Broad St, Philadelphia, PA 19140 2019-07-23
1912569039 Danial Mir Pathology · Anatomic Pathology & Clinical Pathology 3401 N Broad St., Department of Pathology, Temple University Hospital, Philadelphia, PA 19140 2019-06-28
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023626413 Amsterdam, Weisgold, Baumgarten, Ingber, & Fraiman 100 S Broad St Ste 2000, Philadelphia, PA 19110-1009 2020-07-21
1578101630 Maryam Khalili 3223 N Broad St Ofc 314, Philadelphia, PA 19140-5007 2019-12-19
1346778651 Loren Nicole Genetti 8021b Castor Ave, Philadelphia, PA 19152-2733 2017-05-31
1164709093 Park Dental Associates P.C. 1512 Sansom St, #300, Philadelphia, PA 19102-2809 2011-11-06
1699088534 Evanthia Anadioti 240 S 40th St, Philadelphia, PA 19104-6030 2010-07-20
1831426196 David J. Fox, D.m.d., P.C. 2401 Pennsylvania Ave Ste 1a8, Philadelphia, PA 19130-3002 2009-11-06
1720246648 Leslie Stone Stone Hirsh · Leslie Stone Hirsh 1420 Locust Street, Suite 120, Philadelphia, PA 19102 2008-05-28
1962660258 Louis R Marion 1500 Locust Street, Suite 1416, Philadelphia, PA 19102-4314 2008-05-23
1760659601 Mihaela Catighera 240 S 40th St, Philadelphia, PA 19104-6030 2008-05-09
1265601272 Jeffrey M Rodney 3223 N Broad St, Philadelphia, PA 19140-5007 2008-02-23
Find all providers in PHILADELPHIA

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.