Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588643696 Individual Practitioner Female Practitioner

Dr. Su K Jin , DDS

Dentist • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Dr. Su Jin, DDS is a registered healthcare professional specializing in Dentist in Flushing, NY. Practice services are available at 3901 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3901 Main St
Suite #303

Flushing, NY 113545432

Telephone 7183597605
Associated Practice Facility / Clinic
🏢 Acousticon Of Flushing Inc Facility NPI 1851494025

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
130 Specialists

Practicing in Flushing, NY (6355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 048441

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02254259 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Andrew Kuo , DDS

Dentist - Endodontics

NPI 1255353546

Doctor of Dental Surgery

Wing Hong Chan , PT

Physical Therapist

NPI 1316151244

Physical Therapist

Ira Dananberg , BC-HIS

Hearing Instrument Specialist

NPI 1346598000

BCHIS

Dr. Jason Kong , DO

Physical Medicine & Rehabilitation

NPI 1609069715

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Marouni , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1629059571

Doctor of Dental Surgery

Dr. Yonghyuk Park , DDS

Dentist - General Practice

NPI 1861699274

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2013

Registered at 3901 MAIN ST, SUITE #303, FLUSHING, NY 113545432 (Tel: 7183597605)

📍
Updated Business Mailing Address January 24, 2013

Registered at 20927 35TH AVE, BAYSIDE, NY 113611451 (Tel: 9176503735)

👤
Provider Name / Credentials Updated January 24, 2013

Recorded as SU JIN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2013

Dentist (License #048441 in NY)

🟢
Initial NPI Registration & Enumeration January 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Su Jin. Be the first to share your experience!

Sign in to leave a review for Dr. Su Jin

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1588643696
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2006
Last Update: January 24, 2013
Sole Proprietor: Yes

Mailing Address

20927 35th Ave

Bayside, NY 113611451

Phone: 9176503735

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.