Sharlene H Yuan DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

6035 Issued in NE

Legal business name

SHARLENE H YUAN DDS PC

Practice address

612 S 72ND St
Omaha, NE 68114-4612

Phone

(402) 398-1788

Fax

(402) 398-1732

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Sharlene H Yuan, DDS

Title

Owner Dentist

Phone

(402) 398-1788

Specialties & licenses 1

Addresses

Other names 1

• Fox Plaza Dental Former legal business name

Locations

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1013907732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144612",
            "telephone_number": "402-398-1788",
            "fax_number": "402-398-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144612",
            "telephone_number": "402-398-1788",
            "fax_number": "402-398-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARLENE H YUAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "YUAN",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "402-398-1788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "6035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Plaza Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dentist in Omaha, NE
• Providers in Omaha, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.