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NPI Code Detail

MEDICARE: DR. BO YANG DMD

MEDICARE: DR. BO YANG DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN10001377MA

General Provider Information

NPI Number : 1083414791
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BO YANG DMD
Provider Business Mailing Address
First Line : 99 E DEDHAM ST APT 916
Second Line :
City : BOSTON
State : MA
Zip : 02118-5034
Country : US
Telephone Number : 917-880-4328
Fax Number :
Provider Business Practice Location Address
First Line : 1732 MAIN ST
Second Line :
City : CONCORD
State : MA
Zip : 01742-3837
Country : US
Telephone Number : 978-505-6264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2025
Last Update Date : 05/22/2026

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Directions to “ DR. BO YANG DMD” Practice Location

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