Zoryana Yufan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN22555 Issued in FL

Practice address

8750 Perimeter Park Blvd Ste 101
Jacksonville, FL 32216

Phone

(904) 725-4444

NPI assigned

Jun 19, 2017

Sex

Female

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

Enrolled in FL

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

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.

• Smile Design at Agape Family Dentistry

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1649590373
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629508072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3894 LIONHEART DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163602",
            "telephone_number": "845-500-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 PERIMETER PARK BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-725-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUFAN",
        "first_name": "ZORYANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Yu
• Tommy C Yu, MD
• Zhi J Yu, M.D.
• Ji Yuan, M.D. PHD
• Eric J. Yue, M.D.
• Ebar Feyza Yuksel
• Shazada Kawkab Yunus, M.D.
• Charina M Yutuc, OTR
• Gerry E Yutuc, OTR, CEAS
• Karim Ahmed Reda Hassa Zaazoue, MBBCH

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.