Bao Min Yee, DMD PC

Organization Active NPI General Practice Dentistry · Revere, MA

NPI 1508030362 · NPPES record last updated Apr 14, 2008

Key facts

NPI
1508030362
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
MA17655 (MA)
Legal business name
BAO MIN YEE, DMD PC
Practice address
49 Shirley Ave
Revere, MA 02151-5121
Phone
(781) 289-9742
NPI assigned
Apr 14, 2008
Organization subpart
No

Authorized official

Name
Bao Min Yee
Title
Owner
Phone
(781) 289-9742

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Bao Min Yee DMD (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X MA17655 MA Yes

Addresses

Primary practice location

49 Shirley Ave
Revere, MA 02151-5121

Mailing address

49 Shirley Ave
Revere, MA 02151-5121

Other identifiers

IdentifierTypeStateIssuer
0273155MedicaidMA

Other providers in Revere, MA

All providers in Revere, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.