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NPI Code Detail

MEDICARE: JOCELYN E. YU, D.D.S., PLLC

MEDICARE: JOCELYN E. YU, D.D.S., PLLC
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
11223P0221XPediatric Dentistry21237TX

Other Identifiers

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

General Provider Information

NPI Number : 1487817474
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOCELYN E. YU, D.D.S., PLLC
Provider Business Mailing Address
First Line : 2401 LITTLE ELM PKWY STE 1100
Second Line :
City : LITTLE ELM
State : TX
Zip : 75068-2076
Country : US
Telephone Number : 972-370-9588
Fax Number : 972-370-9587
Provider Business Practice Location Address
First Line : 2401 LITTLE ELM PKWY STE 1100
Second Line :
City : LITTLE ELM
State : TX
Zip : 75068-2076
Country : US
Telephone Number : 972-370-9588
Fax Number : 972-370-9587
Authorized Official
Title or Position : PEDIATRIC DENTIST/OWNER
Name : JOCELYN YU
Credential : DDS
Telephone Number : 972-370-9588
Provider Enumeration Date : 07/09/2008
Last Update Date : 04/14/2022

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