Provider Demographics
NPI:1164782173
Name:YUM, JAMIE M (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:M
Last Name:YUM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:JAMIE
Other - Middle Name:M
Other - Last Name:YUM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:1251 S CEDAR CREST BLVD STE 306
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6253
Mailing Address - Country:US
Mailing Address - Phone:610-770-0210
Mailing Address - Fax:
Practice Address - Street 1:1251 S CEDAR CREST BLVD STE 306
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6253
Practice Address - Country:US
Practice Address - Phone:610-770-0210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0391091223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics