Provider Demographics
NPI:1932981941
Name:CHAN, YUK YEUNG (DMD)
Entity type:Individual
Prefix:DR
First Name:YUK YEUNG
Middle Name:
Last Name:CHAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 HENRY STOUPE WAY
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:MD
Mailing Address - Zip Code:21619-2890
Mailing Address - Country:US
Mailing Address - Phone:617-515-8266
Mailing Address - Fax:
Practice Address - Street 1:29276 ERICKSON DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-8613
Practice Address - Country:US
Practice Address - Phone:443-205-4757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD181831223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health