MEDICARE: DR. THOMAS F YASH DDS

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	1223G0001X	General Practice Dentistry	30015006	OH

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	:	1508945304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS F YASH DDS

Provider Business Mailing Address
First Line	:	1056 DELTA AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-3160
Country	:	US
Telephone Number	:	513-321-6044
Fax Number	:	513-732-1200

Provider Business Practice Location Address
First Line	:	1056 DELTA AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-3160
Country	:	US
Telephone Number	:	513-321-6044
Fax Number	:	513-732-1200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	04/15/2015

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