Provider Demographics
NPI:1790427524
Name:YARKIE, MEGAN KRISTINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:KRISTINE
Last Name:YARKIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:KRISTINE
Other - Last Name:RECKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:13700 RICHMOND PARK DR N APT 1301
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-4285
Mailing Address - Country:US
Mailing Address - Phone:317-501-0055
Mailing Address - Fax:
Practice Address - Street 1:7768 OZARK DR STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-5891
Practice Address - Country:US
Practice Address - Phone:904-442-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013538A1223X0400X
FLDN266431223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics