Provider Demographics
NPI:1093884736
Name:YEE, EDWIN E (DMD)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:E
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 1:6160 N DAVIS HWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6994
Mailing Address - Country:US
Mailing Address - Phone:850-479-3355
Mailing Address - Fax:850-479-3377
Practice Address - Street 1:6160 N DAVIS HWY
Practice Address - Street 2:SUITE 6
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6994
Practice Address - Country:US
Practice Address - Phone:850-479-3355
Practice Address - Fax:850-479-3377
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL97591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice