Samer Adnan Yonan Sr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901601707 Issued in MI

Practice address

22010 Eureka Rd
Taylor, MI 48180-5233

Phone

(313) 766-0111

Fax

(734) 287-1140

NPI assigned

Apr 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Plev Trav PLC

  • Dentist
  • Taylor, MI
  • NPI 1821536541
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1306533831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43991 RUSHCLIFFE DR # 159",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131198",
            "telephone_number": "602-405-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22010 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805233",
            "telephone_number": "313-766-0111",
            "fax_number": "734-287-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONAN",
        "first_name": "SAMER",
        "middle_name": "ADNAN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xro Drive
• Robert A Yagoobian, DPM
• Durga V. Yalamanchili, M.D.
• Maria K Yaldo, M.D.
• Madocht Yelda
• Virginia Young-Hicks
• Shirley Young-Melton
• Crystal Rose Younglove, N.P.
• Your Community Cab, Incorporated
• John J Yousef, MD

• Dentist in Taylor, MI
• Providers in Taylor, MI by specialty
• Dentist in Michigan

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