Provider Demographics
NPI:1831281112
Name:YANG, BEXTER M (DDS)
Entity Type:Individual
Prefix:DR
First Name:BEXTER
Middle Name:M
Last Name:YANG
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 1:10251 TORRE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2186
Mailing Address - Country:US
Mailing Address - Phone:408-252-8833
Mailing Address - Fax:408-252-8881
Practice Address - Street 1:10251 TORRE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2186
Practice Address - Country:US
Practice Address - Phone:408-252-8833
Practice Address - Fax:408-252-8881
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA446431223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics