Provider Demographics
NPI:1154595189
Name:YEE-SHINSKY, LORINE GAIL (DDS)
Entity type:Individual
Prefix:
First Name:LORINE
Middle Name:GAIL
Last Name:YEE-SHINSKY
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 1:4249 HIGHWAY 411
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:MADISONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37354-1544
Mailing Address - Country:US
Mailing Address - Phone:423-420-0800
Mailing Address - Fax:423-420-0877
Practice Address - Street 1:4249 HIGHWAY 411
Practice Address - Street 2:SUITE 3B
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354-1544
Practice Address - Country:US
Practice Address - Phone:423-420-0800
Practice Address - Fax:423-420-0877
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDS53161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice