Healthcare Provider Details

I. General information

NPI: 1316141666
Provider Name (Legal Business Name): YURI AUSKER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BRIDGE ST UNIT 10
KITTERY ME
03904-1789
US

IV. Provider business mailing address

19 BRIDGE ST UNIT 10
KITTERY ME
03904-1789
US

V. Phone/Fax

Practice location:
  • Phone: 949-500-8507
  • Fax:
Mailing address:
  • Phone: 949-500-8507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number4999
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: