NPIMap

Organization Active NPI

Yuly Vilderman Professional Dental Corporation

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1922129667
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41689 Issued in CA
Legal business name
YULY VILDERMAN PROFESSIONAL DENTAL CORPORATION
Practice address
2233 Post St
Ste 102
San Francisco, CA 94115-3470
Phone
(415) 567-2900
Fax
(415) 567-0193
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Dr. Yuly Vilderman, DDSNPI 1760601173
Title
President
Phone
(415) 567-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 41689 CA Primary

Addresses

Primary practice location

2233 Post St
Ste 102
San Francisco, CA 94115-3470

Mailing address

2233 Post St Ste 102
San Francisco, CA 94115-3444
Phone (415) 567-2900

Other names 1

  • Metro Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2233 Post St
Ste 102
San Francisco, CA 94115
Phone (415) 567-2900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1922129667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 POST ST STE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153444",
            "telephone_number": "415-567-2900",
            "fax_number": "415-567-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 POST ST",
            "address_2": "STE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153470",
            "telephone_number": "415-567-2900",
            "fax_number": "415-567-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YULY VILDERMAN PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "VILDERMAN",
        "authorized_official_first_name": "YULY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-567-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.