Provider Demographics
NPI:1497013841
Name:YANG, HYUK (DMD)
Entity Type:Individual
Prefix:DR
First Name:HYUK
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12826 SE 40TH LN STE 201
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-4276
Mailing Address - Country:US
Mailing Address - Phone:425-641-5303
Mailing Address - Fax:425-643-2112
Practice Address - Street 1:12826 SE 40TH LN STE 201
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-4276
Practice Address - Country:US
Practice Address - Phone:425-641-5303
Practice Address - Fax:425-643-2112
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601835361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice