Provider Demographics
NPI:1083657597
Name:STOKES, YVETTE MCALISTER (DDS)
Entity type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:MCALISTER
Last Name:STOKES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1367 WALTER REED RD STE 103
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4445
Mailing Address - Country:US
Mailing Address - Phone:910-485-8749
Mailing Address - Fax:910-485-8398
Practice Address - Street 1:1367 WALTER REED RD STE 103
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304
Practice Address - Country:US
Practice Address - Phone:910-485-8749
Practice Address - Fax:910-485-8398
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC64101223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8995617Medicaid
NC58764Medicare UPIN