Provider Demographics
NPI:1285839472
Name:YAMAKI, ALLYSON (DDS)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:YAMAKI
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 1:9931 HYATT RESORT DR
Mailing Address - Street 2:APT #936
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4164
Mailing Address - Country:US
Mailing Address - Phone:808-561-8908
Mailing Address - Fax:
Practice Address - Street 1:9234 N LOOP 1604 W
Practice Address - Street 2:SUITE 123
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2983
Practice Address - Country:US
Practice Address - Phone:808-561-8908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX277571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry