Provider Demographics
NPI:1912647389
Name:YU, HANYI LEO (DMD)
Entity Type:Individual
Prefix:DR
First Name:HANYI
Middle Name:LEO
Last Name:YU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:LEO
Other - Middle Name:
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:3100 PRINCETON PIKE STE E
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2300
Mailing Address - Country:US
Mailing Address - Phone:609-895-8844
Mailing Address - Fax:
Practice Address - Street 1:3100 PRINCETON PIKE STE E
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2300
Practice Address - Country:US
Practice Address - Phone:609-895-8844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1859504122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist