=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972709111
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHARON W YEE D.M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/25/2007
-----------------------------------------------------
Last Update Date | 07/25/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21 W WEA ST
-----------------------------------------------------
City | PAOLA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66071-1462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-557-3333
-----------------------------------------------------
Fax | 913-557-9191
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6013 W 128TH ST
-----------------------------------------------------
City | OVERLAND PARK
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66209-3694
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-685-1415
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 6884
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------