Matthew Yeung, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122282 Issued in GA

Practice address

3590 Old Alabama Rd
Johns Creek, GA 30022-3200

Phone

(770) 998-3838

NPI assigned

Mar 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1124585757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 ROBIN LYNN CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 OLD ALABAMA RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300223200",
            "telephone_number": "770-998-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEUNG",
        "first_name": "MATTHEW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-01",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "A62725254",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WSSH Sundance Rehab, LLC
• Silvia Alejandra Wust, AU.D. , CCC-A
• Brooke Shihui Yang, NURSE PRACTITIONER
• Mitra Yavari, APC
• Nelda F Yee, LPC, LMFT
• Kyungeun Kim Yim
• Jacqueline Yoars, CRNA
• Jo Ann Yoon, PA-C
• Jungsoo Yoon
• Yoshitaro Oba, PH.D., P.C.

• General Practice Dentistry in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.