Provider Demographics
NPI:1760570691
Name:ERNEST M YAMANE DDS
Entity Type:Organization
Organization Name:ERNEST M YAMANE DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:MORI
Authorized Official - Last Name:YAMANE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-748-8603
Mailing Address - Street 1:1292 S MARKET BV
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532
Mailing Address - Country:US
Mailing Address - Phone:360-748-8603
Mailing Address - Fax:
Practice Address - Street 1:1292 S MARKET BV
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532
Practice Address - Country:US
Practice Address - Phone:360-748-8603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty