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Active NPI 1124900675 Individual Practitioner Female Practitioner

Dr. Jisoo Suh , DDS

Dentist • University Place, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jisoo Suh, DDS is a registered healthcare professional specializing in Dentist in University Place, WA. Practice services are available at 3838 BRIDGEPORT WAY W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3838 Bridgeport Way W

University Place, WA 984664416

Telephone 2532123430
Associated Practice Facility / Clinic
🏢 University Place Smiles Pllc Facility NPI 1780020677

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in University Place, WA

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

Practicing in University Place, 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: 2025-07-24
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DENT.DE.70006378

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

11 Associated Practitioners
Dr. Yong Park , DDS

Dentist - General Practice

NPI 1023163425

Doctor of Dental Surgery

Jay Hyuck Sung , DDSMS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1033581640
NPI 1144977687
Kwang Hyo Kim

Dentist - General Practice

NPI 1295282010
Dr. Shannon Jean , DDS

Dentist - General Practice

NPI 1306523436

Doctor of Dental Surgery

NPI 1528985157

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 24, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2025

Registered at 3838 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 984664416 (Tel: 2532123430)

📍
Updated Business Mailing Address July 24, 2025

Registered at 2211 68TH AVENUE CT W APT J201, UNIVERSITY PLACE, WA 984666158 (Tel: 9096809410)

👤
Provider Name / Credentials Updated July 24, 2025

Recorded as JISOO SUH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2025

Dentist (License #DENT.DE.70006378 in WA)

🟢
Initial NPI Registration & Enumeration July 24, 2025

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: 1124900675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2025
Last Update: July 24, 2025
Sole Proprietor: No

Mailing Address

2211 68th Avenue Ct W Apt J201

University Place, WA 984666158

Phone: 9096809410

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.