Provider Demographics
NPI:1639495815
Name:YERKES, JAMES MARSHALL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MARSHALL
Last Name:YERKES
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 1:1441 DEER PARK RD
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-8263
Mailing Address - Country:US
Mailing Address - Phone:360-457-1720
Mailing Address - Fax:
Practice Address - Street 1:1441 DEER PARK RD
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-8263
Practice Address - Country:US
Practice Address - Phone:360-457-1720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 000098301223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health