Yancey, John Russell
Yancey, John Russell is an sole proprietor health care provider with primary practice located at 11001 W 120Th Ave Ste 400 , Broomfield CO 80021-3493. He recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Yancey, John Russell can be contacted via phone (317) 459-0738.Contact Information
Primary practice address
11001 W 120Th Ave Ste 400
Broomfield CO 80021-3493
Phone: (317) 459-0738
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 8020326-9924 | Utah |
Dental Providers / General Practice | 1223G0001X | 8020326-9921 | Utah |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Dentist Anesthesiologist | 1223D0004X | DEN.00203857 | Colorado |
Profile Details
NPI number | 1255622635 |
---|---|
LBN Legal business name | Yancey, John Russell |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 20th, 2011 |
Last updated | Jul 27th, 2019 - about 6 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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