Healthcare Provider Details

I. General information

NPI: 1679735146
Provider Name (Legal Business Name): DANA DIANE YEE D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 06/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1381 UNIVERSITY ST
HEALDSBURG CA
95448-3314
US

IV. Provider business mailing address

1381 UNIVERSITY ST
HEALDSBURG CA
95448-3314
US

V. Phone/Fax

Practice location:
  • Phone: 707-433-8161
  • Fax: 707-433-0229
Mailing address:
  • Phone: 707-433-8161
  • Fax: 707-433-0229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number56081
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: