# DR PAUL R YEAGER DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paul R Yeager DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679682405
- **Authorized official:** DR. PAUL ROBERT YEAGER DDS (PRESIDENT)
- **Authorized official phone:** (707) 542-7295

## Contact information

- **Practice address:** 2798 YULUPA AVE \#2, SANTA ROSA, CA 95405
- **Practice address phone:** (707) 542-7295
- **Practice address fax:** (707) 542-9157
- **Mailing address:** 2798 YULUPA AVE \#2, SANTA ROSA, CA 95405
- **Mailing address phone:** (707) 542-7295
- **Mailing address fax:** (707) 542-9157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 28115 | CA | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/22/2020
