Provider Demographics
NPI:1578620860
Name:MOY, YUEY SANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:YUEY
Middle Name:SANG
Last Name:MOY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:YUEY
Other - Middle Name:S
Other - Last Name:MOY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS PC
Mailing Address - Street 1:9652 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3760
Mailing Address - Country:US
Mailing Address - Phone:301-599-0194
Mailing Address - Fax:301-599-9489
Practice Address - Street 1:9652 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3760
Practice Address - Country:US
Practice Address - Phone:301-599-0194
Practice Address - Fax:301-599-9489
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD8907122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist