Provider Demographics
NPI:1609389535
Name:YAVOREK, ABBY (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:
Last Name:YAVOREK
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 YORKSHIRE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-7786
Mailing Address - Country:US
Mailing Address - Phone:828-277-7668
Mailing Address - Fax:
Practice Address - Street 1:15 YORKSHIRE ST STE 102
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-7786
Practice Address - Country:US
Practice Address - Phone:828-277-7668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC114651223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11465OtherSTATE DENTAL LICENSE