Organization
WILLIAM YODER DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ERVIN YODER DMD (MEMBER)
(859) 327-8286
Entity
Organization
Contact information
Practice address
340 THOMAS MORE PKWY STE 130, CRESTVIEW HILLS, KY 41017-5101
(859) 327-8286
Mailing address
340 THOMAS MORE PKWY STE 130, CRESTVIEW HILLS, KY 41017-5101
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9344
KENTUCKY STATE DENTAL LICENSE
KY
Enumeration date
02/10/2021
Last updated
02/10/2021
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