Provider Demographics
NPI:1225582737
Name:YEE, KEVIN KOSAKU (DDS)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:KOSAKU
Last Name:YEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 KEVINGTON CT
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-7223
Mailing Address - Country:US
Mailing Address - Phone:916-956-2288
Mailing Address - Fax:
Practice Address - Street 1:600 JULIAN LN STE 610
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-7814
Practice Address - Country:US
Practice Address - Phone:828-684-1633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1007071223G0001X
NC126021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice