# J. MICHAEL SU D.D.S., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801002282
- **Authorized official:** DR. JOHN MICHAEL SU DDS (PRESIDENT)
- **Authorized official phone:** (281) 341-5116

## Contact information

- **Practice address:** 6655 GREATWOOD PKWY, SUGAR LAND, TX 77479-6314
- **Practice address phone:** (281) 341-5116
- **Practice address fax:** (581) 341-5126
- **Mailing address:** 6655 GREATWOOD PKWY, SUGAR LAND, TX 77479-6314
- **Mailing address phone:** (281) 341-5116
- **Mailing address fax:** (581) 341-5126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19092 | TX | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 07/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009882401 | — | TX |
| 05 | — | 090763601 | — | TX |