Provider Demographics
NPI:1184718629
Name:YANG, STEVE WOO-SUK (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:WOO-SUK
Last Name:YANG
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 1:2290 STATESVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-9166
Mailing Address - Country:US
Mailing Address - Phone:704-633-1322
Mailing Address - Fax:704-633-2293
Practice Address - Street 1:2290 STATESVILLE BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-9166
Practice Address - Country:US
Practice Address - Phone:704-633-1322
Practice Address - Fax:704-633-2293
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC67381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89-90070Medicaid
NC89-90070Medicaid