Provider Demographics
NPI:1346637378
Name:YAROVOY, JOHN IVAN (DDS)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:IVAN
Last Name:YAROVOY
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 1:18680 E ILIFF AVE STE A-B
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-6540
Mailing Address - Country:US
Mailing Address - Phone:303-751-5010
Mailing Address - Fax:303-309-6177
Practice Address - Street 1:18680 E ILIFF AVE STE A-B
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-6540
Practice Address - Country:US
Practice Address - Phone:303-751-5010
Practice Address - Fax:303-309-6177
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00202489122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist