MEDICARE: YES DENTAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043815129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YES DENTAL INC

Provider Business Mailing Address
First Line	:	2530 N 8TH ST STE 101
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-8856
Country	:	US
Telephone Number	:	970-241-4937
Fax Number	:	970-241-3605

Provider Business Practice Location Address
First Line	:	248 COTTONWOOD ST
Second Line	:
City	:	DELTA
State	:	CO
Zip	:	81416-4405
Country	:	US
Telephone Number	:	970-241-4937
Fax Number	:	970-241-3605

Authorized Official
Title or Position	:	FINANCIAL MANAGER
Name	:	LISA P TOBIN
Credential	:
Telephone Number	:	970-241-4937

Provider Enumeration Date	:	12/04/2020
Last Update Date	:	10/31/2025

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Directions to “YES DENTAL INC ” Practice Location

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