Healthcare Provider Details

I. General information

NPI: 1558355560
Provider Name (Legal Business Name): DENNIS L YOSSI DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 10/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 1ST AVE SE
CEDAR RAPIDS IA
52402-5474
US

IV. Provider business mailing address

1855 1ST AVE SE
CEDAR RAPIDS IA
52402-5474
US

V. Phone/Fax

Practice location:
  • Phone: 319-362-7334
  • Fax: 319-362-4833
Mailing address:
  • Phone: 319-362-7334
  • Fax: 319-362-4833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS LEE YOSSI
Title or Position: OWNER
Credential: DDS
Phone: 319-362-7334