Provider Demographics
NPI:1225635147
Name:YAT T. TANG, DDS, MS, PHD, INC.
Entity Type:Organization
Organization Name:YAT T. TANG, DDS, MS, PHD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YAT
Authorized Official - Middle Name:TO
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS, PHD
Authorized Official - Phone:626-863-5724
Mailing Address - Street 1:1884 BRUSH DR
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-7430
Mailing Address - Country:US
Mailing Address - Phone:626-863-5724
Mailing Address - Fax:
Practice Address - Street 1:3550 EUREKA WAY STE 1
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0157
Practice Address - Country:US
Practice Address - Phone:530-243-3300
Practice Address - Fax:530-246-9174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-04
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental