Dr Youssef Dental Office, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42022 Issued in CA

Legal business name

DR YOUSSEF DENTAL OFFICE, INC

Practice address

4755 E Gettysburg Ave Ste 101
Fresno, CA 93726-1874

Phone

(559) 292-4444

Fax

(559) 292-8931

NPI assigned

May 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sami YoussefNPI 1174741334

Title

Owner

Phone

(559) 292-4444

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Sami Youssef, DDS

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1174741334
  NPD (past) Authorized official
• Elaine Youssef

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1891416095
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821205527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 E GETTYSBURG AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937261874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 E GETTYSBURG AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937261874",
            "telephone_number": "559-292-4444",
            "fax_number": "559-292-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR YOUSSEF DENTAL OFFICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-292-4444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.