Provider Demographics
NPI:1912061730
Name:YARBROUGH, ISABEL MILES (DDS)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:MILES
Last Name:YARBROUGH
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 1:204 CHESWICK DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-8720
Mailing Address - Country:US
Mailing Address - Phone:256-864-0336
Mailing Address - Fax:
Practice Address - Street 1:4530 BONNELL DR NW
Practice Address - Street 2:SUITE 'A'
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-2002
Practice Address - Country:US
Practice Address - Phone:256-430-3478
Practice Address - Fax:256-430-0191
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL38191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice