Healthcare Provider Details
I. General information
NPI: 1730143181
Provider Name (Legal Business Name): STEVEN YEE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4 WALTER E FORAN BLVD SUITE 403
FLEMINGTON NJ
08822-4664
US
IV. Provider business mailing address
4 WALTER E FORAN BLVD SUITE 403
FLEMINGTON NJ
08822-4664
US
V. Phone/Fax
- Phone: 908-788-0088
- Fax: 908-788-0086
- Phone: 908-788-0088
- Fax: 908-788-0086
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 22DI02029300 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: