MEDICARE: DR. JOCELYN ESTRELLA YU 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	1223P0221X	Pediatric Dentistry	21237	TX

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
2	21237	OTHER	TX	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1679574289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOCELYN ESTRELLA YU DDS

Provider Business Mailing Address
First Line	:	2401 LITTLE ELM PARKWAY
Second Line	:	1100
City	:	LITTLE ELM
State	:	TX
Zip	:	75068
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	04/14/2022

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