Provider Demographics
NPI:1972654226
Name:YARMOSKY, LOUIS M (DDS, MSD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:M
Last Name:YARMOSKY
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ELM ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6551
Mailing Address - Country:US
Mailing Address - Phone:413-499-4850
Mailing Address - Fax:
Practice Address - Street 1:200 ELM ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6551
Practice Address - Country:US
Practice Address - Phone:413-499-4850
Practice Address - Fax:413-442-0255
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA115941223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
591180OtherUNITED CONCORDIA
MA00302OtherDELTA DENTAL OF MA
MAX04175YAOtherBCBS OF MA