Provider Demographics
NPI:1518511864
Name:YORKSHIRE DENTAL,PLLC
Entity Type:Organization
Organization Name:YORKSHIRE DENTAL,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANUSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOMMU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-757-0468
Mailing Address - Street 1:3233 EASTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3031
Mailing Address - Country:US
Mailing Address - Phone:717-757-0468
Mailing Address - Fax:717-757-0681
Practice Address - Street 1:3233 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3031
Practice Address - Country:US
Practice Address - Phone:717-757-0468
Practice Address - Fax:717-757-0681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental