Healthcare Provider Details

I. General information

NPI: 1578092136
Provider Name (Legal Business Name): DEBORAH YEH D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 12/28/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 S QUINCY ST STE 325
ARLINGTON VA
22206-2242
US

IV. Provider business mailing address

2700 S QUINCY ST STE 325
ARLINGTON VA
22206-2242
US

V. Phone/Fax

Practice location:
  • Phone: 703-828-8188
  • Fax: 703-828-8187
Mailing address:
  • Phone: 703-828-8188
  • Fax: 703-828-8187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number0401417456
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number16841
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: