Healthcare Provider Details

I. General information

NPI: 1750500120
Provider Name (Legal Business Name): UMIT YIGIT DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 04/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 N. FEDERAL HWY.
LIGHTHOUSE POINT FL
33064-6278
US

IV. Provider business mailing address

3330 N FEDERAL HWY
LIGHTHOUSE POINT FL
33064-6742
US

V. Phone/Fax

Practice location:
  • Phone: 954-942-4534
  • Fax:
Mailing address:
  • Phone: 954-942-4534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number11015
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: