Provider Demographics
NPI:1992964795
Name:YEOH, SIN MIN MELVYN (DMD, MD)
Entity type:Individual
Prefix:DR
First Name:SIN MIN
Middle Name:MELVYN
Last Name:YEOH
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY
Mailing Address - Street 2:800 ROSE STREET, ROOM D104
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0297
Mailing Address - Country:US
Mailing Address - Phone:859-323-9707
Mailing Address - Fax:859-323-5858
Practice Address - Street 1:UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY
Practice Address - Street 2:800 ROSE STREET, ROOM D104
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0297
Practice Address - Country:US
Practice Address - Phone:859-323-9707
Practice Address - Fax:859-323-5858
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255991204E00000X
LAMD.205293204E00000X
KY9855204E00000X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4R049F600OtherMEDICARE - PTAN
LA2890174Medicaid