Provider Demographics
NPI:1457435539
Name:YUCEL, NIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:NIL
Middle Name:
Last Name:YUCEL
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 1:490 POST ST STE 1038
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1301
Mailing Address - Country:US
Mailing Address - Phone:415-362-3762
Mailing Address - Fax:415-362-3763
Practice Address - Street 1:490 POST ST STE 1038
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1301
Practice Address - Country:US
Practice Address - Phone:415-362-3762
Practice Address - Fax:415-362-3763
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA452191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA82-3985770OtherTAN ID