# WILLIAM YODER DMD PLLC

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

## Provider details

- **NPI number:** 1154913176
- **Authorized official:** DR. WILLIAM ERVIN YODER DMD (MEMBER)
- **Authorized official phone:** (859) 327-8286

## Contact information

- **Practice address:** 340 THOMAS MORE PKWY STE 130, CRESTVIEW HILLS, KY 41017-5101
- **Practice address phone:** (859) 327-8286
- **Mailing address:** 340 THOMAS MORE PKWY STE 130, CRESTVIEW HILLS, KY 41017-5101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2021
- **Last updated:** 02/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 9344 | KENTUCKY STATE DENTAL LICENSE | KY |
