DR. HYONMO JEFFREY YANG (NPI# 1649434671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649434671 |
Entity Type | Individual |
Full Name | DR. HYONMO JEFFREY YANG |
Other Name | DR. JEFFREY YANG |
Credential | DMD |
Practice Address |
10357 Fairway Dr 100 Roseville CA 95678-3544 |
Practice Telephone | 3607138600 |
Mailing Telephone | 3607138600 |
Enumeration Date | 2008-07-18 |
Last Update Date | 2012-01-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
DE00011249 | WA | Dental Providers |
Y | 1223P0300X |
Dentist Specialization: Periodontics |
61051 | CA | Dental Providers |
N | 1223P0300X |
Dentist Specialization: Periodontics |
D9409 | OR | Dental Providers |
Street Address |
10357 FAIRWAY DR 100 |
City | ROSEVILLE |
State | CA |
Zip Code | 95678-3544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871690735 | Dhaval R Patel | Dentist | 10357 Fairway Dr, Ste. 100, Roseville, CA 95678-3544 | 2006-09-20 |
1548611668 | Ronney Tay | Dentist | 10357 Fairway Dr, Suite 100, Roseville, CA 95678-3544 | 2016-06-29 |
1083806160 | Antonia Accettura | Dentist | 10357 Fairway Dr, Suite 100, Roseville, CA 95678-3544 | 2007-08-13 |
1235224007 | Ghazal Rodgers Buehler Dental Corporation | Dentist | 10357 Fairway Dr, Ste. 100, Roseville, CA 95678-3544 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
Find all providers in zip 95678 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639569684 | Divine Family Denistry | Dentist | 27845 Gratiot Ave, Roseville, MI 48066-4848 | 2015-01-29 |
1114130788 | Key Soon Hu Choi | Dentist | 3224 Corniche Ln, Roseville, CA 95661-3967 | 2007-05-08 |
1902951064 | Dean Nadeem Ahmad | Dentist | 580 N Sunrise Ave Ste 190, Roseville, CA 95661-3035 | 2007-01-25 |
1073660346 | Jennifer Goss | Dentist | 125 Ascot Drive, Suite A, Roseville, CA 95661-3408 | 2007-01-05 |
1477961738 | Joohyun Cha | Dentist | 10357 Fairway Dr Ste 100, Roseville, CA 95678-3544 | 2014-07-30 |
1235321852 | Capitol Periodontal Group | Dentist | 2428 Professional Dr, Ste 100, Roseville, CA 95661-7774 | 2007-08-16 |
1285852194 | Louis Gene Cuccia | Dentist | 125 Ascot Dr, Suite A, Roseville, CA 95661-3408 | 2007-04-23 |
1619000478 | Asvin Vidyacharan Vasanthan | Dentist | 1420 E Roseville Pkwy, #230, Roseville, CA 95661-3078 | 2007-03-13 |
1659406205 | Rosemary Wu | Dentist | 2428 Professional Dr, Ste. 100, Roseville, CA 95661-7774 | 2007-02-23 |
1598810004 | Nicky M Hakimi Dds Inc | Dentist | 1420 E Roseville Pkwy, Suite 230, Roseville, CA 95661-3078 | 2007-01-24 |
Find all providers in ROSEVILLE |
Please comment or provide details below to improve the information on DR. HYONMO JEFFREY YANG.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.