Provider Demographics
NPI:1013409374
Name:YEAM, INYOUNG CHONG (DMD)
Entity Type:Individual
Prefix:
First Name:INYOUNG
Middle Name:CHONG
Last Name:YEAM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 E DEER SPRINGS WAY STE 180
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086-1514
Mailing Address - Country:US
Mailing Address - Phone:702-399-3800
Mailing Address - Fax:
Practice Address - Street 1:640 E DEER SPRINGS WAY STE 180
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-1514
Practice Address - Country:US
Practice Address - Phone:702-399-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-03
Last Update Date:2018-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7060122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist