Provider Demographics
NPI:1598131567
Name:YAHN, STEFANIE A (DDS)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:A
Last Name:YAHN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1869 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:TRIADELPHIA
Mailing Address - State:WV
Mailing Address - Zip Code:26059-1076
Mailing Address - Country:US
Mailing Address - Phone:304-280-0000
Mailing Address - Fax:
Practice Address - Street 1:1804 WARWOOD AVE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-7115
Practice Address - Country:US
Practice Address - Phone:304-277-1877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV4161122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist