Provider Demographics
NPI:1407095516
Name:YANG, JAMES Z (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:Z
Last Name:YANG
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 1:255 W COURT ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-2986
Mailing Address - Country:US
Mailing Address - Phone:530-662-7128
Mailing Address - Fax:530-302-0174
Practice Address - Street 1:255 W COURT ST
Practice Address - Street 2:SUITE E
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-2986
Practice Address - Country:US
Practice Address - Phone:530-662-7128
Practice Address - Fax:530-302-0174
Is Sole Proprietor?:No
Enumeration Date:2009-02-12
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58720122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist