Provider Demographics
NPI:1093938680
Name:YU, PAUL Y (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:Y
Last Name:YU
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 1:2920 N WHITEHALL RD
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-4401
Mailing Address - Country:US
Mailing Address - Phone:215-740-5660
Mailing Address - Fax:610-278-9579
Practice Address - Street 1:610 W MARSHALL ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-4546
Practice Address - Country:US
Practice Address - Phone:610-275-1565
Practice Address - Fax:610-278-9579
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031215L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist