Healthcare Provider Details

I. General information

NPI: 1003737396
Provider Name (Legal Business Name): BRIANNE JUHYUNG YI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 BESTGATE RD STE 300
ANNAPOLIS MD
21401-2955
US

IV. Provider business mailing address

214 SCOTT ST
BALTIMORE MD
21230-2108
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-0500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number18071
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: