Healthcare Provider Details

I. General information

NPI: 1538088612
Provider Name (Legal Business Name): YESHI NMN KHANDO HUEN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

B5 CORNWALL DR
EAST BRUNSWICK NJ
08816-3361
US

IV. Provider business mailing address

2 BABBITT WAY
ALLENTOWN NJ
08501-2023
US

V. Phone/Fax

Practice location:
  • Phone: 732-390-1911
  • Fax:
Mailing address:
  • Phone: 347-944-8309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number22DI03167600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: