Provider Demographics
NPI:1417067356
Name:YEE, JANICE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:YEE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 PATCHOGUE YAPHANK ROAD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:E PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772
Mailing Address - Country:US
Mailing Address - Phone:631-475-0112
Mailing Address - Fax:631-475-2954
Practice Address - Street 1:250 PATCHOGUE YAPHANK ROAD
Practice Address - Street 2:SUITE 4
Practice Address - City:E PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772
Practice Address - Country:US
Practice Address - Phone:631-475-0112
Practice Address - Fax:631-475-2954
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0431901122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist