Healthcare Provider Details

I. General information

NPI: 1104022995
Provider Name (Legal Business Name): H WESLEY YEE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 J ST
SACRAMENTO CA
95814-2501
US

IV. Provider business mailing address

707 J ST
SACRAMENTO CA
95814-2501
US

V. Phone/Fax

Practice location:
  • Phone: 916-443-8701
  • Fax: 916-443-8161
Mailing address:
  • Phone: 916-443-8701
  • Fax: 916-443-8161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number27575
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: