Individual
EDWARD YEATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6710 S BLACKSTONE RD STE 101, COTTONWOOD HEIGHTS, UT 84121-6240
(801) 278-0458
Mailing address
6710 S BLACKSTONE RD STE 101, COTTONWOOD HEIGHTS, UT 84121-6240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13909845-9923
UT
1223G0001X
General Practice Dentistry
62270
KS
Other
Enumeration date
04/17/2024
Last updated
04/24/2025
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