Provider Demographics
NPI:1649388414
Name:DR BEE LAY YANG DDS PA
Entity Type:Organization
Organization Name:DR BEE LAY YANG DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YENG
Authorized Official - Middle Name:LOR
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-256-3400
Mailing Address - Street 1:951 11TH AVENUE BLVD SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-4348
Mailing Address - Country:US
Mailing Address - Phone:828-256-3400
Mailing Address - Fax:828-256-3441
Practice Address - Street 1:951 11TH AVENUE BLVD SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4348
Practice Address - Country:US
Practice Address - Phone:828-256-3400
Practice Address - Fax:828-256-3441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC76691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC902KHOtherBLUE CROSS BLUE SHIELD
NC7669OtherDELTA DENTAL
NC89902KHMedicaid