Provider Demographics
NPI:1952666505
Name:YARGER, LAURA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:L
Last Name:YARGER
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 1:984 BRASS CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:NJ
Mailing Address - Zip Code:07823-2752
Mailing Address - Country:US
Mailing Address - Phone:908-475-3641
Mailing Address - Fax:908-475-2028
Practice Address - Street 1:984 BRASS CASTLE RD
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-2752
Practice Address - Country:US
Practice Address - Phone:908-475-3641
Practice Address - Fax:908-475-2028
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI25078122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist