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NPI Code Detail

MEDICARE: DR. NICHOLAS CHRIST YIANNIOS D.D.S.

MEDICARE:  DR. NICHOLAS CHRIST YIANNIOS  D.D.S.
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 Dentistry015680MO
21223G0001XGeneral Practice Dentistry3979AR

General Provider Information

NPI Number : 1205857570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS CHRIST YIANNIOS D.D.S.
Provider Business Mailing Address
First Line : 3718 S PINNACLE HILLS PKWY
Second Line :
City : ROGERS
State : AR
Zip : 72758-8897
Country : US
Telephone Number : 479-876-8000
Fax Number : 479-876-8878
Provider Business Practice Location Address
First Line : 3718 S PINNACLE HILLS PKWY
Second Line :
City : ROGERS
State : AR
Zip : 72758-8897
Country : US
Telephone Number : 479-876-8000
Fax Number : 479-876-8878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 07/26/2015

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Directions to “ DR. NICHOLAS CHRIST YIANNIOS D.D.S.” Practice Location

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