Shurlang Yen, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011594 Issued in GA

Practice address

3321 Centerville Hwy
Ste B
Snellville, GA 30039-6115

Phone

(770) 972-2888

Fax

(770) 972-3880

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306990148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 CENTERVILLE HWY",
            "address_2": "SUITE B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396115",
            "telephone_number": "770-972-2888",
            "fax_number": "770-972-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 CENTERVILLE HWY",
            "address_2": "STE B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396115",
            "telephone_number": "770-972-2888",
            "fax_number": "770-972-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEN",
        "first_name": "SHURLANG",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hisa Yamaguchi, M.D.
• Gifty ABA Yankson
• Madison Nicole Yates, DPT
• Sheneaka Danielle Yearwood, RBT
• Ermeyas Yehualashet
• David Yoon, O.D.
• Sejong Yoon, D.D.S.
• Cressinda Young- Woods, DPT
• Tyarah Young, RBT
• Your Choice Home Care LLC

• General Practice Dentistry in Snellville, GA
• Providers in Snellville, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.