Yacoub Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037266 Issued in PA

Legal business name

YACOUB INC

Doing business as

Whitehall Family Dentistry

Practice address

2123 N 1St Ave
Suite A2
Whitehall, PA 18052-3956

Phone

(610) 266-1101

Fax

(610) 266-1170

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ayham Yacoub, DMD

Title

Owner

Phone

(610) 266-1101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Whitehall Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1679803852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 N 1ST AVE",
            "address_2": "SUITE A2",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523956",
            "telephone_number": "610-266-1101",
            "fax_number": "610-266-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 N 1ST AVE",
            "address_2": "SUITE A2",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523956",
            "telephone_number": "610-266-1101",
            "fax_number": "610-266-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YACOUB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "AYHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-266-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891984258",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitehall Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitehall-Coplay School District
• Mary Ellen Williams, D.O.
• Margaret Disalvi Wolf, OT/L
• Shirley Wong, PA-C
• Y2 Home Care LLC
• Nidal Yacoub, D.M.D, M.D.S
• Wael Yacoub, M.D
• Jennifer Yenser, OTR L
• Jason Aaron Yeung, MSPAS, PA-C
• David Joel Yovic, DDS

• General Practice Dentistry in Whitehall, PA
• Providers in Whitehall, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.