Provider Demographics
NPI:1306250626
Name:YABER, JOSE LUIS (DDS)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:LUIS
Last Name:YABER
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 1:7800 S RED RD STE 228
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5523
Mailing Address - Country:US
Mailing Address - Phone:305-667-1131
Mailing Address - Fax:305-662-3939
Practice Address - Street 1:7800 S RED RD STE 228
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5523
Practice Address - Country:US
Practice Address - Phone:305-667-1131
Practice Address - Fax:305-662-3939
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3445122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist