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NPI Code Detail

MEDICARE: DR. BRIGHAM BAI HAN YANG DMD

MEDICARE: DR. BRIGHAM BAI HAN YANG DMD
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
1122300000XDentist7831NV

General Provider Information

NPI Number : 1558840330
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIGHAM BAI HAN YANG DMD
Provider Business Mailing Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-1107
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-1107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2018
Last Update Date : 12/10/2025

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