Provider Demographics
NPI:1962948596
Name:YES DENTAL COIT LLC
Entity type:Organization
Organization Name:YES DENTAL COIT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATI
Authorized Official - Middle Name:
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:214-466-1400
Mailing Address - Street 1:14215 COIT RD
Mailing Address - Street 2:#112
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-2800
Mailing Address - Country:US
Mailing Address - Phone:972-701-8282
Mailing Address - Fax:214-367-5896
Practice Address - Street 1:220 E SEMINARY DR
Practice Address - Street 2:#100
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76115-2607
Practice Address - Country:US
Practice Address - Phone:972-701-8282
Practice Address - Fax:214-367-5896
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES DENTAL COIT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX287211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty