Healthcare Provider Details

I. General information

NPI: 1720465321
Provider Name (Legal Business Name): DEXTER YEE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2015
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 IRON POINT RD STE 200
FOLSOM CA
95630-8853
US

IV. Provider business mailing address

1851 IRON POINT RD STE 200
FOLSOM CA
95630-8853
US

V. Phone/Fax

Practice location:
  • Phone: 916-235-8566
  • Fax:
Mailing address:
  • Phone: 916-235-8566
  • Fax: 916-235-8567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number101191
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: