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Active NPI 1154064962 Individual Practitioner Female Practitioner

Suxian Lin

Dentist - General Practice • State College, PA

Professional Overview & Biography Verified Profile Summary

Suxian Lin is a registered healthcare professional specializing in Dentist - General Practice in State College, PA. Practice services are available at 2014 SANDY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2014 Sandy Dr

State College, PA 168032515

Telephone 8142382431
Associated Practice Facility / Clinic
🏢 Kotary, Detar & Associates Facility NPI 1629094222

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in State College, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
31 Specialists

Practicing in State College, PA (4936 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: 2023-07-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS044030

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1083842132

Doctor of Dental Medicine

Dr. Brian Kwon , DMD

Dentist - General Practice

NPI 1699384909

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 10, 2023

Registered at 2014 SANDY DR, STATE COLLEGE, PA 168032515 (Tel: 8142382431)

📍
Updated Business Mailing Address July 10, 2023

Registered at 319 TOFTREES AVE APT 335, STATE COLLEGE, PA 168032034

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2023

Dentist (License #DS044030 in PA)

NPI Profile Active April 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2022

Registered at 5645 MAIN ST, FLUSHING, NY 113555045 (Tel: 9177496909)

📍
Updated Business Mailing Address April 19, 2022

Registered at 5645 MAIN ST, FLUSHING, NY 113555045

👤
Provider Name / Credentials Updated April 19, 2022

Recorded as SUXIAN LIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 19, 2022

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: 1154064962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2022
Last Update: July 10, 2023
Sole Proprietor: No

Mailing Address

319 Toftrees Ave Apt 335

State College, PA 168032034

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.