Provider Demographics
NPI:1992998082
Name:YOKUM, HARRY MICHAEL III (DDS)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:MICHAEL
Last Name:YOKUM
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 EAST ST
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:OH
Mailing Address - Zip Code:43162-1557
Mailing Address - Country:US
Mailing Address - Phone:614-879-8908
Mailing Address - Fax:
Practice Address - Street 1:23 EAST ST
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:43162-1557
Practice Address - Country:US
Practice Address - Phone:614-879-8908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300165131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice