Provider Demographics
NPI:1609968411
Name:YEH, KEVIN DANIEL (DDS)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:DANIEL
Last Name:YEH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4503A WOODHEAD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-4411
Mailing Address - Country:US
Mailing Address - Phone:832-265-3865
Mailing Address - Fax:713-422-2457
Practice Address - Street 1:3800 N SHEPHERD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-6400
Practice Address - Country:US
Practice Address - Phone:713-802-0011
Practice Address - Fax:713-422-2457
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20672122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist