Healthcare Provider Details

I. General information

NPI: 1144238999
Provider Name (Legal Business Name): GEORGE JAMES YARZABEK DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W GERMANTOWN PIKE
EAST NORRITON PA
19403-4280
US

IV. Provider business mailing address

PO BOX 347
FAIRVIEW VILLAGE PA
19403
US

V. Phone/Fax

Practice location:
  • Phone: 610-539-8425
  • Fax: 610-539-3360
Mailing address:
  • Phone: 610-539-8425
  • Fax: 610-539-3360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS19955L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: