Provider Demographics
NPI:1437154333
Name:PUSHKIN, YURI Y (DDS)
Entity Type:Individual
Prefix:DR
First Name:YURI
Middle Name:Y
Last Name:PUSHKIN
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 1:3453 S OLD 3C RD
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:OH
Mailing Address - Zip Code:43021-9795
Mailing Address - Country:US
Mailing Address - Phone:740-965-1015
Mailing Address - Fax:
Practice Address - Street 1:3453 S OLD 3C RD
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:OH
Practice Address - Zip Code:43021-9795
Practice Address - Country:US
Practice Address - Phone:740-965-1015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH203691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice