Alexander Yewtuck, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6478 Issued in FL

Practice address

8501 Dr. MLK St. N.
St. Petersburg, FL 33702-3505

Phone

(727) 577-0232

Fax

(727) 577-0402

NPI assigned

Jan 6, 2006

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

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316925639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 DR. MLK ST. N.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337023505",
            "telephone_number": "727-577-0232",
            "fax_number": "727-577-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 DR. MLK ST. N.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337023505",
            "telephone_number": "727-577-0232",
            "fax_number": "727-577-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEWTUCK",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "6478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Yarranton, LMHC CAP
• Olivia Yasser
• Luis F Ycaza, D.O.
• Akosua Asor Yeboah, ARNP
• Sterling Yee, MS CGC
• Hogan G Yi, M.D.
• Gregory Alan Yingling, D.C.
• Michael E Yokum, M.D.
• Debora Yones, M.S., CCC-SLP
• Aleksandra H Yonicova, PHARMD

• General Practice Dentistry in St. Petersburg, FL
• Providers in St. Petersburg, FL by specialty
• General Practice Dentistry in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.