| Heidi D. Yang, Dmd | |
|
7807 Shelbyville Rd Ste 203 Louisville KY 40222 | |
| (502) 426-0705 | |
| Not Available |
| Full Name | Heidi D. Yang, Dmd |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7807 Shelbyville Rd Ste 203, Louisville, Kentucky |
| Authorized Official Name and Position | Heidi Yang (PRESIDENT) |
| Authorized Official Contact | 5024260705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi D. Yang, Dmd 7807 Shelbyville Rd Ste 203 Louisville KY 40222-9000 Ph: (502) 426-0705 | Heidi D. Yang, Dmd 7807 Shelbyville Rd Ste 203 Louisville KY 40222 Ph: (502) 426-0705 |
| NPI Number | 1770858276 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 06/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770858276 | NPI | - | NPPES |
| 60074515 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 07451 (Kentucky) | Primary |
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