DR. BOBBY YASSO (NPI# 1700400363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700400363 |
| Entity Type | Individual |
| Full Name | DR. BOBBY YASSO |
| Practice Address |
1636 N 51st Ave Phoenix AZ 85035-3936 |
| Mailing Address |
18408 N 54th Ln Glendale AZ 85308-1349 |
| Practice Telephone | 6029045901 |
| Mailing Telephone | 2487058334 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D010659 | AZ | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
D010659 | AZ | Dental Providers |
| Street Address |
1636 N 51ST AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85035-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962068072 | Sang Bum Han | Dentist | 1636 N 51st Ave, Phoenix, AZ 85035-3936 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912420621 | Safe Run Non Emergency Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 7205 W Mcdowell Rd, Apt 1073, Phoenix, AZ 85035 | 2017-07-25 |
| 1710435581 | Aimee Uwimana | Nurse Practitioner | 5030 W. Mcdowell Rd. Ste. 16, Phoenix, AZ 85035 | 2016-09-21 |
| 1528427317 | Akdhc, LLC | Internal Medicine | 4901 W Mcdowell Rd, Phoenix, AZ 85035 | 2016-02-22 |
| 1285921544 | Tasnim Khalife | Family Medicine | 2303 N. 75th Ave., Phoenix, AZ 85035 | 2011-07-06 |
| 1528210192 | Scott Alan Ulrick | Chiropractor | 5120 W. Mcdowell Rd, Phoenix, AZ 85035 | 2008-10-15 |
| 1467627331 | Robert Anthony Bembenek | Chiropractor | 5030 W Mcdowell Suite 10, Phx, AZ 85035 | 2008-04-23 |
| 1164569935 | Roy Song | Dentist | 1820 N 75th Ave, Suite 112, Phoenix, AZ 85035 | 2007-01-31 |
| 1659418994 | Western Dental of Arizona, Inc. | Dentist | 1820 N. 75th Ave., Suite #112, Phoenix, AZ 85035 | 2007-01-30 |
| 1982774824 | Nationwide Vision Center, LLC | Technician/Technologist | 1820 North 75th Avenue, Suite 102, Phoenix, AZ 85035 | 2006-11-08 |
| 1396748976 | Kris Morshedian | Internal Medicine | 4901 W Mcdowell Rd., Phoenix, AZ 85035 | 2005-05-27 |
| Find all providers in zip 85035 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990444 | Shaveta Behl | Dentist | 320 E Mcdowell Rd Ste 221, Phoenix, AZ 85004-4516 | 2020-10-23 |
| 1083212575 | Rasha Adil Abduljabbar Al-kaabi | Dentist | 4750 E Union Hills Dr Apt 1076, Phoenix, AZ 85050-3366 | 2020-10-15 |
| 1912510678 | Nicholas Ahn | Dentist | 1550 E Campbell Ave Apt 3028, Phoenix, AZ 85014-4271 | 2020-08-24 |
| 1326659087 | Triple Eight Dental Group, Pllc | Dentist | 7910 W Thomas Rd Ste 118, Phoenix, AZ 85033-4830 | 2020-08-14 |
| 1376154450 | Hatcher Dental Studio | Dentist | 421 W Hatcher Rd # 101, Phoenix, AZ 85021-2455 | 2020-08-12 |
| 1811515885 | Robert James Koch | Dentist | 2236 W Bethany Home Rd Ste 1, Phoenix, AZ 85015-1934 | 2020-07-07 |
| 1093332454 | James Dang | Dentist | 2777 E Camelback Rd Ste 101, Phoenix, AZ 85016-4348 | 2020-07-01 |
| 1639700735 | Swiss Biologic Dentistry, LLC | Dentist | 4202 N 32nd St Ste A, Phoenix, AZ 85018-4764 | 2020-01-28 |
| 1194370403 | Rajas Milind Pradhan | Dentist | 4201 E Bell Rd, Phoenix, AZ 85032-2211 | 2019-08-04 |
| 1396398806 | Aman Kaur | Dentist | 3320 W Southern Ave Ste 111, Phoenix, AZ 85041-4307 | 2019-07-23 |
| Find all providers in PHOENIX | ||||
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| 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.