Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811347024 Individual Practitioner Female Practitioner

Dr. Susan Ku , DDS

Dentist • Flushing, NY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Susan Ku, DDS is a registered healthcare professional specializing in Dentist in Flushing, NY. Official NPI practice address is registered at 3901 MAIN ST STE 211.

Practice Location & Contact Primary Location

Practice Address

3901 Main St Ste 211

Flushing, NY 113545435

Telephone 7187621300
Associated Practice Facility / Clinic
🏢 Danielle L Sim Dmd Pc Facility NPI 1356775316

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

CMS Verified: 2022-02-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 107282

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License NY 059630

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
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

14 Historical Events
📍
Updated Business Mailing Address February 16, 2022

Registered at 3580 LOUIS RD, PALO ALTO, CA 943034405 (Tel: 6502830502)

📍
Updated Practice Location September 20, 2018

Registered at 3901 MAIN ST STE 211, FLUSHING, NY 113545435 (Tel: 7187621300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2018

Dentist (License #059630 in NY)

NPI Profile Active August 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2017

Registered at 1775 GRAND CONCOURSE FL 6, BRONX, NY 104538202 (Tel: 7189018110)

📍
Updated Business Mailing Address August 08, 2017

Registered at 163 E 92ND ST, APT 6, NEW YORK, NY 101282420

👤
Provider Name / Credentials Updated August 08, 2017

Recorded as SUSAN KU, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2017

Student in an Organized Health Care Education/Training Program

NPI Profile Active June 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2016

Registered at 234 E 149TH ST, BRONX, NY 104515504 (Tel: 7185795692)

📍
Updated Business Mailing Address June 18, 2016

Registered at 163 E 92ND ST, APT 6, NEW YORK, NY 101282420

👤
Provider Name / Credentials Updated June 18, 2016

Recorded as SUSAN KU, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 18, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811347024
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2016
Last Update: February 16, 2022
Sole Proprietor: No

Mailing Address

3580 Louis Rd

Palo Alto, CA 943034405

Phone: 6502830502

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.