Provider Demographics
NPI:1649568569
Name:YEE, JOHN C D (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C D
Last Name:YEE
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 1:341 WESTLAKE CTR STE 203
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-1445
Mailing Address - Country:US
Mailing Address - Phone:650-731-4476
Mailing Address - Fax:
Practice Address - Street 1:341 WESTLAKE CTR STE 203
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-1445
Practice Address - Country:US
Practice Address - Phone:650-731-4476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA275761223G0001X
HI11091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice