Provider Demographics
NPI:1255627311
Name:YILDIRIM, YAVUZ (DDS)
Entity type:Individual
Prefix:
First Name:YAVUZ
Middle Name:
Last Name:YILDIRIM
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 1:11655 SOLZMAN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-1232
Mailing Address - Country:US
Mailing Address - Phone:513-791-0550
Mailing Address - Fax:
Practice Address - Street 1:11655 SOLZMAN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-1232
Practice Address - Country:US
Practice Address - Phone:513-791-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND130141223S0112X
390200000X
OH30.0250261223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN850000152Medicare PIN