Yi Dental, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6436 Issued in AZ

Legal business name

YI DENTAL, DMD, PC

Practice address

1300 S Watson Rd
Suite a-100
Buckeye, AZ 85326-6303

Phone

(623) 386-3333

Fax

(623) 386-3544

NPI assigned

Oct 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kyong H Yi, DMD

Title

President

Phone

(623) 386-3333

Specialties & licenses 1

Addresses

Other names 1

• Family Dentistry of Buckeye Doing business as

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1437435906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S WATSON RD",
            "address_2": "SUITE A-100",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266303",
            "telephone_number": "623-386-3333",
            "fax_number": "623-386-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S WATSON RD",
            "address_2": "SUITE A-100",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266303",
            "telephone_number": "623-386-3333",
            "fax_number": "623-386-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YI DENTAL, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "KYONG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-386-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Buckeye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Work
• Kent Tilis Worthen, D.O.
• Wyocare LLC
• Michael Anthony Yancy Jr.
• Neng Yang, DMD
• Kyong Yi, DMD
• Leonard Allen Yontz, M.D.
• Kathleen Ann York
• Kelly Anne Young
• Mary-Helen Young

• General Practice Dentistry in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.