Provider Demographics
NPI:1205074754
Name:LIU, YI-PING (DDS)
Entity type:Individual
Prefix:DR
First Name:YI-PING
Middle Name:
Last Name:LIU
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 1:570 LANIER AVE W BLDG 2
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-7649
Mailing Address - Country:US
Mailing Address - Phone:716-946-8061
Mailing Address - Fax:
Practice Address - Street 1:570 LANIER AVE W BLDG 2
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7649
Practice Address - Country:US
Practice Address - Phone:678-833-2128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC104731223X0400X
GADN0139891223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics