Yorktown Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YORKTOWN DENTISTRY LLC

Doing business as

Yorktown Family Dentistry

Practice address

2001 S Tiger Dr
Yorktown, IN 47396-9385

Phone

(765) 759-2273

NPI assigned

Sep 10, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Delayne M Lefevre, DDS

Title

Managing Member Partner

Phone

(765) 759-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Yorktown Family Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1003241076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S TIGER DR",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473969385",
            "telephone_number": "765-759-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S TIGER DR",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473969385",
            "telephone_number": "765-759-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORKTOWN DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "LEFEVRE",
        "authorized_official_first_name": "DELAYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER PARTNER",
        "authorized_official_telephone_number": "765-759-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441630A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yorktown Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Lynn Winn, MA, CCC-SLP
• Christi M Wohlt, MSN, FNP-C
• Cheryl Ann Wolfert, O.T.
• Yorktown Community Schools
• Yorktown Dental, LLC
• Yorktown Family Dentistry

• General Practice Dentistry in Yorktown, IN
• Providers in Yorktown, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.