Healthcare Provider Details

I. General information

NPI: 1245930486
Provider Name (Legal Business Name): YASH ENDODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2023
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2745 VIRGINIA PKWY STE 200
MCKINNEY TX
75071-4918
US

IV. Provider business mailing address

5917 FAIRGLEN AVE APT 619
FORT WORTH TX
76137-6818
US

V. Phone/Fax

Practice location:
  • Phone: 682-334-4660
  • Fax:
Mailing address:
  • Phone: 609-202-8123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. YAGNIK PATEL
Title or Position: ENDODONTIST
Credential:
Phone: 682-334-4660