Provider Demographics
NPI:1164460127
Name:YURK, HOWARD CHRIS (DDS)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:CHRIS
Last Name:YURK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:H.
Other - Middle Name:CHRIS
Other - Last Name:YURK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2290 W 46TH ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-1467
Mailing Address - Country:US
Mailing Address - Phone:970-203-0096
Mailing Address - Fax:
Practice Address - Street 1:COLORADO STATE UNIVERSITY - HARTSHORN HEALTH SERVI
Practice Address - Street 2:HARTSHORN BUILDING (8031)
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80523-0001
Practice Address - Country:US
Practice Address - Phone:970-491-1710
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice