MEDICARE: JESSICA C HSU DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics

General Provider Information

NPI Number	:	1831047109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JESSICA C HSU DDS PLLC

Provider Business Mailing Address
First Line	:	625 4TH AVE STE 201
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98033-9028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 4TH AVE STE 201
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98033-9028
Country	:	US
Telephone Number	:	425-658-0850
Fax Number	:

Authorized Official
Title or Position	:	PERIODONTIST
Name	:	JESSICA HSU
Credential	:	DDS
Telephone Number	:	281-731-3733

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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