Provider Demographics
NPI:1508311945
Name:YU, BOYD (DMD)
Entity Type:Individual
Prefix:DR
First Name:BOYD
Middle Name:
Last Name:YU
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 1:2843 E GRAND RIVER AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-4989
Mailing Address - Country:US
Mailing Address - Phone:517-827-3228
Mailing Address - Fax:517-827-3218
Practice Address - Street 1:2843 E GRAND RIVER AVE STE 130
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-4989
Practice Address - Country:US
Practice Address - Phone:517-827-3228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS100526122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist