Provider Demographics
NPI:1124729397
Name:SUL KI YI, DDS, P.A.
Entity type:Organization
Organization Name:SUL KI YI, DDS, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUL KI
Authorized Official - Middle Name:
Authorized Official - Last Name:YI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-723-4470
Mailing Address - Street 1:1600 W JONQUIL AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3829
Mailing Address - Country:US
Mailing Address - Phone:210-849-4812
Mailing Address - Fax:
Practice Address - Street 1:201 N MAIN ST STE. B
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-2720
Practice Address - Country:US
Practice Address - Phone:956-464-4448
Practice Address - Fax:956-464-9742
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUL KI YI, DDS, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-15
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty