MEDICARE: DR. YVONNE MARIA DI PIERRO DDS

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
1	1223G0001X	General Practice Dentistry	DN10024	FL

General Provider Information

NPI Number	:	1376008169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YVONNE MARIA DI PIERRO DDS

Provider Business Mailing Address
First Line	:	3180 NE 48TH CT APT 207
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-7986
Country	:	US
Telephone Number	:	954-263-9748
Fax Number	:

Provider Business Practice Location Address
First Line	:	9600 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-9737
Country	:	US
Telephone Number	:	561-499-6234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2019
Last Update Date	:	02/05/2019

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