Provider Demographics
NPI:1528552387
Name:YU, DIMPLE (DMD)
Entity Type:Individual
Prefix:
First Name:DIMPLE
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7918 ROUNDTABLE RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6752
Mailing Address - Country:US
Mailing Address - Phone:945-230-7088
Mailing Address - Fax:
Practice Address - Street 1:1700 N HIGHWAY 77 STE 200
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-7888
Practice Address - Country:US
Practice Address - Phone:972-833-4994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34258122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist