Provider Demographics
NPI:1225573868
Name:YES DENTAL, PLLC
Entity Type:Organization
Organization Name:YES DENTAL, PLLC
Other - Org Name:THE HOPE SMILE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATI
Authorized Official - Middle Name:NGUYEN
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-701-8282
Mailing Address - Street 1:14215 COIT RD
Mailing Address - Street 2:#112
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-2800
Mailing Address - Country:US
Mailing Address - Phone:972-701-8282
Mailing Address - Fax:972-701-8284
Practice Address - Street 1:3625 E LOOP 820 S
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76119-1822
Practice Address - Country:US
Practice Address - Phone:972-701-8282
Practice Address - Fax:972-701-8284
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES DENTAL COIT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-05
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX287211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty