Healthcare Provider Details
I. General information
NPI: 1023920840
Provider Name (Legal Business Name): YIHAN PERIODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/17/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 W TIENKEN RD
ROCHESTER HILLS MI
48306-4348
US
IV. Provider business mailing address
50 W TIENKEN RD
ROCHESTER HILLS MI
48306-4348
US
V. Phone/Fax
- Phone: 248-656-3200
- Fax:
- Phone: 248-656-3200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0300X |
| Taxonomy | Periodontics |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMIE
SOLI
Title or Position: OFFICE MANAGER
Credential:
Phone: 248-656-3200