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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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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