Yamashiro, Duane K
Yamashiro, Duane K is an sole proprietor health care provider with primary practice located at 100 N Medical Dr Ste 3575, Salt Lake City UT 84113-1103. He recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Yamashiro, Duane K can be contacted via phone (801) 662-3930.Contact Information
Primary practice address
100 N Medical Dr Ste 3575
Salt Lake City UT 84113-1103
Phone: (801) 662-3930
Fax: (801) 662-3933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 141853-9921 | Utah |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 141853 | Utah |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 141853-9921 | Utah |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 141853 | Utah |
Profile Details
| NPI number | 1629275151 |
|---|---|
| LBN Legal business name | Yamashiro, Duane K |
| Credentials | DDS,MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Dec 20th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629275151 | NPPES |
| Wyoming | MEDICAID | 112651200 | |
| Wyoming | MEDICAID | 805165800 |
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