Healthcare Provider Details

I. General information

NPI: 1154251312
Provider Name (Legal Business Name): DENTISTRY 4 VETS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HARRIS COURT, SUITE A
MONTEREY CA
93940
US

IV. Provider business mailing address

4 HARRIS COURT, SUITE A
MONTEREY CA
93940
US

V. Phone/Fax

Practice location:
  • Phone: 831-883-9371
  • Fax: 831-883-9372
Mailing address:
  • Phone: 831-883-9371
  • Fax: 831-883-9372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA MARIE YELLICH
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 831-883-9371