Yin Cao, DMD
Individual provider Active NPI General Practice Dentistry · Superior, WI
NPI 1962997023 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1962997023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1001930-15 (WI)
- Practice address
- 2222 E 5TH St
Superior, WI 54880-3709 - Phone
- (715) 392-1955
- Fax
- (715) 392-1935
- NPI assigned
- Jun 29, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| D14049 | MN | MD | General Practice Dentistry |
| 1001930-15 | WI | MD | General Practice Dentistry |
Interoperability endpoints
- ycao813985@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D14049 | MN | |
| General Practice Dentistry | 1223G0001X | 1001930-15 | WI | Yes |
Addresses
Primary practice location
2222 E 5TH St
Superior, WI 54880-3709
Mailing address
2222 E 5TH St
Superior, WI 54880-3709
Phone (715) 392-1955
Other practice location 1
4325 Grand Ave
Duluth, MN 55807-2730
Phone (218) 722-1497
Other providers in Superior, WI
- C R Ross Services LLC
- C.W. Medical Transport LLC
- Daniel Cabot
- Mark D Callaway
- Michelle Lee Cannon
- Carina Barker Clinical Practice LLC
- Carl Jeffrey Eliason
- Julie Ann Carlson
- Janice E Carter
- Caitlin Joy Caturia
All providers in Superior, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. 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.