Provider Demographics
NPI:1487232088
Name:YN AND AM DENTAL SERVICES
Entity Type:Organization
Organization Name:YN AND AM DENTAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YURIY
Authorized Official - Middle Name:
Authorized Official - Last Name:NORMATOV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-753-1776
Mailing Address - Street 1:1670 OLD COUNTRY RD STE 215
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-5020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1670 OLD COUNTRY RD STE 215
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-5020
Practice Address - Country:US
Practice Address - Phone:516-753-1776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental