Provider Demographics
NPI:1376755355
Name:YEOMANS, WILLIAM PETER (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PETER
Last Name:YEOMANS
Suffix:
Gender:M
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 31 959 WYOMING AVE.
Mailing Address - Street 2:SCRANTON PRIMARY HEALTH CARE CENTER
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18501-0031
Mailing Address - Country:US
Mailing Address - Phone:570-344-3517
Mailing Address - Fax:570-344-6839
Practice Address - Street 1:959 WYOMING AVE.
Practice Address - Street 2:SCRANTON PRIMARY HEALTH CARE CENTER
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18509-3023
Practice Address - Country:US
Practice Address - Phone:570-504-0882
Practice Address - Fax:570-504-0859
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS018595L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist