Provider Demographics
NPI:1316953250
Name:YEE, DAVID K I (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:K I
Last Name:YEE
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 1:1060 YOUNG ST STE 310
Mailing Address - Street 2:MCDONALD'S BUILDING
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1609
Mailing Address - Country:US
Mailing Address - Phone:808-532-7874
Mailing Address - Fax:
Practice Address - Street 1:1060 YOUNG ST STE 310
Practice Address - Street 2:MCDONALD'S BUILDING
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1609
Practice Address - Country:US
Practice Address - Phone:808-532-7874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-16841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI066230-02Medicaid
HI1684OtherHDS
HI8661-1OtherHMSA