Individual
DR. YI XIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2352 LINEVILLE RD STE 112, SUAMICO, WI 54313-8863
(920) 471-4988
Mailing address
105 W COLLEGE AVE, APT 501, APPLETON, WI 54911
(909) 918-7206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
111661
CA
122300000X
Dentist
Primary
6001857
WI
122300000X
Dentist
Primary
6001857-15
WI
Other
Enumeration date
06/16/2025
Last updated
02/25/2026
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