MEDICARE: KEVIN A. TENN YUK, D.M.D, P.A.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN15073	FL

General Provider Information

NPI Number	:	1699882027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEVIN A. TENN YUK, D.M.D, P.A.

Provider Business Mailing Address
First Line	:	11382 PROSPERITY FARMS RD
Second Line	:	SUITE 130, BLDG G
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3463
Country	:	US
Telephone Number	:	561-622-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	11382 PROSPERITY FARMS RD
Second Line	:	SUITE 130, BLDG G
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3463
Country	:	US
Telephone Number	:	561-622-3100
Fax Number	:

Authorized Official
Title or Position	:	ORTHODONTIST
Name	:	DR. KEVIN A TENN YUK
Credential	:	D.M.D.
Telephone Number	:	561-622-3100

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	08/22/2020

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