Provider Demographics
NPI:1740331248
Name:WEHBE, YASER JOHN (DMD)
Entity type:Individual
Prefix:DR
First Name:YASER
Middle Name:JOHN
Last Name:WEHBE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:
Other - Last Name:WEHBE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:51 THOREAU RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-3539
Mailing Address - Country:US
Mailing Address - Phone:508-746-7946
Mailing Address - Fax:508-746-6809
Practice Address - Street 1:1 ROCK ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-2321
Practice Address - Country:US
Practice Address - Phone:508-947-4411
Practice Address - Fax:508-947-4424
Is Sole Proprietor?:No
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20518122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist