# JOEL W. YATES JR. D.D.S. P.L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134200421
- **Authorized official:** DR. JOEL W YATES JR. D.D.S. (OWNER OPERATER)
- **Authorized official phone:** (336) 846-2323

## Contact information

- **Practice address:** 525 E MAIN ST, JEFFERSON, NC 28640-8991
- **Practice address phone:** (336) 846-2323
- **Practice address fax:** (336) 846-5635
- **Mailing address:** PO BOX 499, JEFFERSON, NC 28640-0499
- **Mailing address phone:** (336) 846-2323
- **Mailing address fax:** (336) 846-5635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8194 | NC | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 09/08/2009