Provider Demographics
NPI:1508882978
Name:YAZIGI, ERNEST (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:
Last Name:YAZIGI
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 1:1 LONGFELLOW PL
Mailing Address - Street 2:APT. #1621
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2438
Mailing Address - Country:US
Mailing Address - Phone:617-767-7775
Mailing Address - Fax:
Practice Address - Street 1:177 TREMONT ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1020
Practice Address - Country:US
Practice Address - Phone:617-426-5662
Practice Address - Fax:617-422-1441
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA198871223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics