Provider Demographics
NPI:1982017893
Name:SEAN YIM DMD PLLC
Entity Type:Organization
Organization Name:SEAN YIM DMD PLLC
Other - Org Name:AFFORDABLE FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YIM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-738-4249
Mailing Address - Street 1:1065 CASTIRON RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-0405
Mailing Address - Country:US
Mailing Address - Phone:702-738-4249
Mailing Address - Fax:
Practice Address - Street 1:270 DAHLIA ST STE 4
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-2196
Practice Address - Country:US
Practice Address - Phone:775-727-8848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty