Provider Demographics
NPI:1376008169
Name:DI PIERRO, YVONNE MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:MARIA
Last Name:DI PIERRO
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 1:3180 NE 48TH CT APT 207
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-7986
Mailing Address - Country:US
Mailing Address - Phone:954-263-9748
Mailing Address - Fax:
Practice Address - Street 1:9600 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-9737
Practice Address - Country:US
Practice Address - Phone:561-499-6234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN100241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice