Provider Demographics
NPI:1992863732
Name:YEE, GARRY G (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARRY
Middle Name:G
Last Name:YEE
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 1:1200 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-1513
Mailing Address - Country:US
Mailing Address - Phone:732-541-1221
Mailing Address - Fax:732-541-4199
Practice Address - Street 1:1200 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:CARTERET
Practice Address - State:NJ
Practice Address - Zip Code:07008-1513
Practice Address - Country:US
Practice Address - Phone:732-541-1221
Practice Address - Fax:732-541-4199
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ126911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice