Provider Demographics
NPI:1174787923
Name:YEANG, EDMUND (DDS)
Entity type:Individual
Prefix:DR
First Name:EDMUND
Middle Name:
Last Name:YEANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24307 ALDINE WESTFIELD RD
Mailing Address - Street 2:STE M
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-5955
Mailing Address - Country:US
Mailing Address - Phone:281-350-6500
Mailing Address - Fax:
Practice Address - Street 1:24307 ALDINE WESTFIELD RD
Practice Address - Street 2:M
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-5955
Practice Address - Country:US
Practice Address - Phone:281-350-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX148971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice