Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720633837 Individual Practitioner Male Practitioner

Pu Yu Su

Dentist • Kenmore, WA

Professional Overview & Biography Verified Profile Summary

Pu Yu Su is a registered healthcare professional specializing in Dentist in Kenmore, WA. Practice services are available at 5723 NE BOTHELL WAY STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5723 Ne Bothell Way Ste A

Kenmore, WA 980289404

Telephone 2065252813
Associated Practice Facility / Clinic
🏢 Quirt, Mongrain, Gibree, P.c. Facility NPI 1336630615

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Kenmore, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Kenmore, WA (2853 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: 2025-05-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA 61673321

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 AZ D010409

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

2 Associated Practitioners
NPI 1356994727
NPI 1922101096

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 07, 2025

Registered at 5723 NE BOTHELL WAY STE A, KENMORE, WA 980289404 (Tel: 2065252813)

📍
Updated Business Mailing Address May 07, 2025

Registered at 5723 NE BOTHELL WAY STE A, KENMORE, WA 980289404 (Tel: 2065252813)

NPI Profile Active August 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2019

Registered at 7475 W TWIN PEAKS RD, TUCSON, AZ 857431518 (Tel: 5205791500)

📍
Updated Business Mailing Address August 06, 2019

Registered at 7475 W TWIN PEAKS RD, TUCSON, AZ 857431518 (Tel: 5205791500)

👤
Provider Name / Credentials Updated August 06, 2019

Recorded as PU YU SU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2019

Dentist (License #D010409 in AZ)

🟢
Initial NPI Registration & Enumeration August 06, 2019

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: 1720633837
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2019
Last Update: May 07, 2025
Sole Proprietor: No

Mailing Address

5723 Ne Bothell Way Ste A

Kenmore, WA 980289404

Phone: 2065252813

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.