Provider Demographics
NPI:1154545416
Name:YALE, JOSEPH ALEXANDER (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ALEXANDER
Last Name:YALE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6991 DEER RUN
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-5644
Mailing Address - Country:US
Mailing Address - Phone:504-914-1806
Mailing Address - Fax:
Practice Address - Street 1:6991 DEER RUN
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-5644
Practice Address - Country:US
Practice Address - Phone:504-914-1806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA56751223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry