Provider Demographics
NPI:1841448610
Name:PEKARSKI, YANA (DDS)
Entity type:Individual
Prefix:DR
First Name:YANA
Middle Name:
Last Name:PEKARSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:YANA
Other - Middle Name:
Other - Last Name:GEDAREVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5931 STANLEY AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-3846
Mailing Address - Country:US
Mailing Address - Phone:916-507-2122
Mailing Address - Fax:
Practice Address - Street 1:5931 STANLEY AVE STE 3
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-3846
Practice Address - Country:US
Practice Address - Phone:165-072-1229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2334122300000X, 1223G0001X
CA58170122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice