Provider Demographics
NPI:1982990677
Name:YUEY S. MOY D.D.S.,P.C.
Entity Type:Organization
Organization Name:YUEY S. MOY D.D.S.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YUEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-599-0194
Mailing Address - Street 1:9652 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3670
Mailing Address - Country:US
Mailing Address - Phone:301-599-0194
Mailing Address - Fax:301-599-9489
Practice Address - Street 1:9652 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3670
Practice Address - Country:US
Practice Address - Phone:301-599-0194
Practice Address - Fax:301-599-9489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD8907122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty