Individual
ISAAC YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 PEACHTREE PKWY BLDG 400, CUMMING, GA 30041-7066
(385) 214-5249
Mailing address
4330 JOHNS CREEK PKWY STE 100, SUWANEE, GA 30024-6121
(385) 214-5249
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122681
GA
1223G0001X
General Practice Dentistry
Primary
DN122681
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/02/2022
Last updated
02/25/2026
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