Provider Demographics
NPI:1033149653
Name:YEE, HOWARD GENE (DMD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:GENE
Last Name:YEE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 DOWNS BROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-3227
Mailing Address - Country:US
Mailing Address - Phone:252-885-6302
Mailing Address - Fax:252-537-8832
Practice Address - Street 1:1068 E 10TH ST
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-3006
Practice Address - Country:US
Practice Address - Phone:252-537-8822
Practice Address - Fax:252-537-8832
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC75271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC902XRMedicaid