Provider Demographics
NPI:1518264415
Name:ZHOU, YIYA (DDS)
Entity Type:Individual
Prefix:DR
First Name:YIYA
Middle Name:
Last Name:ZHOU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOE
Other - Middle Name:
Other - Last Name:ZHOU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:316 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21636-1126
Mailing Address - Country:US
Mailing Address - Phone:410-482-2224
Mailing Address - Fax:339-161-0148
Practice Address - Street 1:316 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:MD
Practice Address - Zip Code:21636-1126
Practice Address - Country:US
Practice Address - Phone:410-482-2224
Practice Address - Fax:833-916-1014
Is Sole Proprietor?:No
Enumeration Date:2011-02-12
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD147931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice