Provider Demographics
NPI:1083098172
Name:YUE, JIREH JON-KAI (MS, MBE, DDS)
Entity Type:Individual
Prefix:DR
First Name:JIREH
Middle Name:JON-KAI
Last Name:YUE
Suffix:
Gender:M
Credentials:MS, MBE, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9325 LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6077
Mailing Address - Country:US
Mailing Address - Phone:972-668-3680
Mailing Address - Fax:
Practice Address - Street 1:9325 LEBANON RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6077
Practice Address - Country:US
Practice Address - Phone:972-668-3680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30796122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist