Yallourakis, Stephen

Yallourakis, Stephen is an individual health care provider with primary practice located at 105 W Stone Dr Ste 1A, Kingsport TN 37660-3256. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Yallourakis, Stephen can be contacted via phone (423) 246-8211.

Contact Information

Primary practice address
105 W Stone Dr Ste 1A Kingsport TN 37660-3256
Phone: (423) 246-8211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MD24477 Tennessee
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS7016 Tennessee

Profile Details

NPI number 1760486682
LBN Legal business name Yallourakis, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 24th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760486682 NPPES
Tennessee MEDICAID 3075591
Tennessee MEDICAID 7322721

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