Healthcare Provider Details

I. General information

NPI: 1427189851
Provider Name (Legal Business Name): ALAN S YEUNG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 W LANCASTER AVE SUITE 210
PAOLI PA
19301
US

IV. Provider business mailing address

250 W LANCASTER AVE SUITE 210
PAOLI PA
19301
US

V. Phone/Fax

Practice location:
  • Phone: 610-725-0620
  • Fax: 610-725-0621
Mailing address:
  • Phone: 610-725-0620
  • Fax: 610-725-0621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS26208L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: