Provider Demographics
NPI:1558487157
Name:LORINE G. YEE-SHINSKY, DDS
Entity Type:Organization
Organization Name:LORINE G. YEE-SHINSKY, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORINE
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:YEE-SHINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:423-420-0800
Mailing Address - Street 1:4249 HIGHWAY 411
Mailing Address - Street 2:SUITE #3
Mailing Address - City:MADISONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37354-1544
Mailing Address - Country:US
Mailing Address - Phone:423-420-0800
Mailing Address - Fax:423-420-0877
Practice Address - Street 1:4249 HIGHWAY 411
Practice Address - Street 2:SUITE #3
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354-1544
Practice Address - Country:US
Practice Address - Phone:423-420-0800
Practice Address - Fax:423-420-0877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS53161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN921182OtherUNITED CONCORDIA
TN3021448OtherBCBST