Provider Demographics
NPI:1962617993
Name:YEN DENTISTRY P.C.
Entity type:Organization
Organization Name:YEN DENTISTRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YEN
Authorized Official - Middle Name:THI NGOC
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-669-8888
Mailing Address - Street 1:1332 S PLANO RD
Mailing Address - Street 2:STE 520
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5956
Mailing Address - Country:US
Mailing Address - Phone:972-669-8888
Mailing Address - Fax:972-669-1981
Practice Address - Street 1:1332 S PLANO RD
Practice Address - Street 2:STE 520
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5956
Practice Address - Country:US
Practice Address - Phone:972-669-8888
Practice Address - Fax:972-669-1981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX193731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD19373OtherBLUE CROSS BLUE SHIELD
TX1306074OtherUNITED CONCORDIA
TXB19373-01OtherDELTA DENTAL