Provider Demographics
NPI:1306018346
Name:HOWARD YEE, DMD, PA
Entity Type:Organization
Organization Name:HOWARD YEE, DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:YEE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:252-885-6302
Mailing Address - Street 1:1068 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-3006
Mailing Address - Country:US
Mailing Address - Phone:252-537-8822
Mailing Address - Fax:252-537-8832
Practice Address - Street 1:1068 E 10TH ST
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-3006
Practice Address - Country:US
Practice Address - Phone:252-537-8822
Practice Address - Fax:252-537-8832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC75271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89902XRMedicaid