Provider Demographics
NPI:1447962188
Name:YCPD, PLLC
Entity type:Organization
Organization Name:YCPD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:HATTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-610-2562
Mailing Address - Street 1:40 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:CAPE NEDDICK
Mailing Address - State:ME
Mailing Address - Zip Code:03902-7959
Mailing Address - Country:US
Mailing Address - Phone:518-610-2562
Mailing Address - Fax:
Practice Address - Street 1:1750 POST RD
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090-4603
Practice Address - Country:US
Practice Address - Phone:207-985-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty