Provider Demographics
NPI:1194841304
Name:YANG, JEANNE CHI-MEI (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEANNE CHI-MEI
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JEANNE CHI MEI
Other - Middle Name:
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:200 DUNHAM AVE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-2528
Mailing Address - Country:US
Mailing Address - Phone:716-485-2669
Mailing Address - Fax:
Practice Address - Street 1:896 E 2ND ST
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-3826
Practice Address - Country:US
Practice Address - Phone:716-661-1431
Practice Address - Fax:716-661-1046
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0377781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1027216640003Medicaid