Christian Thomas Yaste, DDS
Individual provider Active NPI General Practice Dentistry · Charlotte, NC
NPI 1861601445 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861601445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 06898 (NC)
- Practice address
- 15105 John J Delaney Dr
Suite K
Charlotte, NC 28277-2847 - Phone
- (704) 540-2255
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06898 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ballantyne Center for Dentistry | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 06898 | NC | Yes |
Addresses
Primary practice location
15105 John J Delaney Dr
Suite K
Charlotte, NC 28277-2847
Mailing address
15105 John J Delaney Dr
Suite K
Charlotte, NC 28277-2847
Phone (704) 540-2255
Other providers in Charlotte, NC
- Olesya Yaremko
- Vladislav Yaroshevich
- Amber Christine Yarrison
- Erin Rachel Yashinsky
- Aqueelah Iman Yasin
- Charlotte Yates
- Leilani Yates
- Patricia Kpan Yates
- Laura Elizabeth Yau
- Robert Thomas Yavorski Jr.
All providers in Charlotte, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.