Provider Demographics
NPI:1215051198
Name:YARNIS, JAY H (DDS)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:H
Last Name:YARNIS
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:PO BOX 1033
Mailing Address - Street 2:
Mailing Address - City:HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07843-0833
Mailing Address - Country:US
Mailing Address - Phone:973-398-6680
Mailing Address - Fax:973-398-6750
Practice Address - Street 1:37 SHAWNEE RD
Practice Address - Street 2:
Practice Address - City:HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07843-1426
Practice Address - Country:US
Practice Address - Phone:973-398-6680
Practice Address - Fax:973-398-6750
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD10075251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice