Provider Demographics
NPI:1093184616
Name:YEN, HOWARD (DMD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:YEN
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 1:106 GROVE ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1760
Mailing Address - Country:US
Mailing Address - Phone:678-622-8288
Mailing Address - Fax:
Practice Address - Street 1:18 NORTH RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2736
Practice Address - Country:US
Practice Address - Phone:978-256-3301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-24
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0403661223P0300X
NH044641223P0300X
MADN18593261223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics