Provider Demographics
NPI:1760740534
Name:YOCKELSON, ALLAN E (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:E
Last Name:YOCKELSON
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 1:2820 BEL PRE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2316
Mailing Address - Country:US
Mailing Address - Phone:301-871-8500
Mailing Address - Fax:
Practice Address - Street 1:2820 BEL PRE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2316
Practice Address - Country:US
Practice Address - Phone:301-871-8500
Practice Address - Fax:301-871-8499
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD40821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice