Provider Demographics
NPI:1699882027
Name:KEVIN A. TENN YUK, D.M.D, P.A.
Entity type:Organization
Organization Name:KEVIN A. TENN YUK, D.M.D, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TENN YUK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-622-3100
Mailing Address - Street 1:11382 PROSPERITY FARMS RD
Mailing Address - Street 2:SUITE 130, BLDG G
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3463
Mailing Address - Country:US
Mailing Address - Phone:561-622-3100
Mailing Address - Fax:
Practice Address - Street 1:11382 PROSPERITY FARMS RD
Practice Address - Street 2:SUITE 130, BLDG G
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3463
Practice Address - Country:US
Practice Address - Phone:561-622-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN150731223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty