Provider Demographics
NPI:1245610351
Name:YIP, BETTY (DMD)
Entity Type:Individual
Prefix:DR
First Name:BETTY
Middle Name:
Last Name:YIP
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14749 W 87TH PKWY UNIT A
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-1337
Mailing Address - Country:US
Mailing Address - Phone:720-805-0707
Mailing Address - Fax:720-805-0188
Practice Address - Street 1:14749 W 87TH PKWY UNIT A
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-1337
Practice Address - Country:US
Practice Address - Phone:720-805-0707
Practice Address - Fax:720-805-0188
Is Sole Proprietor?:No
Enumeration Date:2015-06-03
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0404041223G0001X, 1223P0221X
NJ22DI026711001223P0221X
CODEN.002038891223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice