Provider Demographics
NPI:1194923565
Name:YEH, WILLIAM C (DMD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
Last Name:YEH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WALT WHITMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3709
Mailing Address - Country:US
Mailing Address - Phone:856-216-9565
Mailing Address - Fax:
Practice Address - Street 1:101 WALT WHITMAN BLVD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3709
Practice Address - Country:US
Practice Address - Phone:856-216-9565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI191181223G0001X
PADS28778L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice