Provider Demographics
NPI:1891967550
Name:WU, JIE (DDS)
Entity Type:Individual
Prefix:
First Name:JIE
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:JIE
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:280 DOBBS FERRY RD STE 309
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1913
Mailing Address - Country:US
Mailing Address - Phone:914-683-8888
Mailing Address - Fax:914-683-8889
Practice Address - Street 1:280 DOBBS FERRY RD STE 309
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1913
Practice Address - Country:US
Practice Address - Phone:914-683-8888
Practice Address - Fax:914-683-8889
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050899122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist