Yoo-Lee Yea DDS PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE00009955 Issued in WA

Legal business name

YOO-LEE YEA DDS PLLC

Doing business as

Bothell Pediatric Dentistry

Practice address

18807 Beardslee Blvd
Suite 103
Bothell, WA 98011-1712

Phone

(425) 486-6300

Fax

(425) 487-6498

NPI assigned

Feb 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Yoo-Lee Yea, DDS MSD MPHNPI 1043305600

Title

Pediatric Dentist

Phone

(206) 852-7338

Specialties & licenses 1

Addresses

Other names 1

• Bothell Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yoo-Lee Yea, DDS, MSD, MPH

  • Pediatric Dentistry
  • Seattle, WA
  • NPI 1043305600
  NPD (past) Authorized official

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1649630948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18807 BEARDSLEE BLVD",
            "address_2": "SUITE 103",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111712",
            "telephone_number": "425-486-6300",
            "fax_number": "425-487-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18807 BEARDSLEE BLVD",
            "address_2": "SUITE 103",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111712",
            "telephone_number": "425-486-6300",
            "fax_number": "425-487-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOO-LEE YEA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "YEA",
        "authorized_official_first_name": "YOO-LEE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "206-852-7338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD MPH"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00009955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bothell Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Jiamei Yeh
• Aura Lizeth Yela Solano
• Yakov Yezhevsky
• Kirsten Yoder, RN
• Anzu Yonezawa
• Sung Wook Yoon, D.D.S.
• Tae Rim Yoon, DMD
• Wendy York, M.ED., BCBA
• Ashley Yost, M.S. OTR/L
• Anne Marie Young, ARNP

• Pediatric Dentistry in Bothell, WA
• Providers in Bothell, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.