Provider Demographics
NPI:1881029668
Name:YEE-PAIVA, TARYN CK (DDS)
Entity Type:Individual
Prefix:DR
First Name:TARYN
Middle Name:CK
Last Name:YEE-PAIVA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6810 MENAUL BLVD NE STE B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3725
Mailing Address - Country:US
Mailing Address - Phone:808-282-1129
Mailing Address - Fax:
Practice Address - Street 1:6810 MENAUL BLVD NE STE B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3725
Practice Address - Country:US
Practice Address - Phone:505-872-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA626411223G0001X
CODEN002023601223G0001X
NMDD50291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral Practice