Individual
DR. DAVID J YEATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5305 S 96TH ST, OMAHA, NE 68127-3317
(402) 331-0701
(402) 331-0730
Mailing address
5305 S 96TH ST, OMAHA, NE 68127-3317
(402) 331-0701
(402) 331-0730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7115
NE
1223G0001X
General Practice Dentistry
8559
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04010443
—
CO
Enumeration date
08/10/2005
Last updated
10/10/2013
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