Healthcare Provider Details

I. General information

NPI: 1750592069
Provider Name (Legal Business Name): SEFIK YAVUZ DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 DOGWOOD AVE
WEST HEMPSTEAD NY
11552-3425
US

IV. Provider business mailing address

719 DOGWOOD AVE
WEST HEMPSTEAD NY
11552-3425
US

V. Phone/Fax

Practice location:
  • Phone: 516-287-7403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number053379-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: