Healthcare Provider Details

I. General information

NPI: 1164012514
Provider Name (Legal Business Name): STANLEY YE DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 BOSTON POST RD STE B
SUDBURY MA
01776-3376
US

IV. Provider business mailing address

616 BOSTON POST RD STE B
SUDBURY MA
01776-3376
US

V. Phone/Fax

Practice location:
  • Phone: 978-443-3111
  • Fax:
Mailing address:
  • Phone: 978-621-3421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STANLEY XUELIN YE
Title or Position: OWNER
Credential: DMD
Phone: 978-621-3421