Provider Demographics
NPI:1396758892
Name:RONALD R YEN DDS INC
Entity type:Organization
Organization Name:RONALD R YEN DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:YEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-926-5800
Mailing Address - Street 1:1301 NORTHWEST HWY
Mailing Address - Street 2:#201
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-5896
Mailing Address - Country:US
Mailing Address - Phone:972-926-5800
Mailing Address - Fax:972-926-5880
Practice Address - Street 1:1301 NORTHWEST HWY
Practice Address - Street 2:#201
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-5896
Practice Address - Country:US
Practice Address - Phone:972-926-5800
Practice Address - Fax:972-926-5880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113391223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty