Jie Su, Dmd, P.a. is a Pediatric Dental Clinic in Plano, Texas. It is located at 4500 Legacy Dr, Suite 300, Plano, TX and its contact number is 972-618-2958. The authorized person for Jie Su, Dmd, P.a. is Dr. Jie Su
who is President of the clinic and their contact number is 972-618-2958. The primary license number for Jie Su, Dmd, P.a. is 23596 (Pediatric Dentistry) in Texas.
Jie Su, Dmd, P.a. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Jie Su, Dmd, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jie Su, Dmd, P.a. |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 4500 Legacy Dr, Suite 300, Plano,
Texas, 75024-2179 |
| Phone: | 972-618-2958 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jie Su |
| Position: | President |
| Contact Number: | 972-618-2958 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jie Su, Dmd, P.a. clinic are as mentioned below.
| NPI Number: | 1437429529 |
| NPI Enumeration Date: | 05 Jan, 2012 |
| NPI Last Update On: | 17 Mar, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jie Su, Dmd, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 23596 | Texas | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jie Su, Dmd, P.a.
4500 Legacy Dr, Suite 300
Plano, Texas |
| Zip: | 75024-2179 |
| Phone Number: | 972-618-2958 |
Patients can reach Jie Su, Dmd, P.a. at
4500 Legacy Dr, Suite 300, Plano, Texas or can
call to book an appointment on 972-618-2958.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.