Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susie T Chan DDS a Professional Dental Corportation

Organization Dental Clinic/Center · NPI 1134473408

Susie T Chan DDS a Professional Dental Corportation is a Dental Clinic/Center in San Diego, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

16918 Dove Canyon Rd Ste 201
San Diego, CA 92127-3501
Phone: (858) 924-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 57743 (CA)

Record details

NPI number1134473408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susie Ro — Dentist · (714) 421-0430
Other names Smile.
NPI enumeratedNovember 7, 2012
Last updated in NPPESNovember 7, 2012
Mailing address16918 Dove Canyon Rd, Ste 201, San Diego, CA 92127-3501

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