Provider Demographics
NPI:1225525595
Name:YEPEZ, EMILY ABIGAIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ABIGAIL
Last Name:YEPEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3816 RAILWAY AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3838
Mailing Address - Country:US
Mailing Address - Phone:425-879-7937
Mailing Address - Fax:
Practice Address - Street 1:1418 164TH ST SW STE 100
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-8500
Practice Address - Country:US
Practice Address - Phone:425-742-8828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-21
Last Update Date:2018-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60846031122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist