Provider Demographics
NPI:1871695221
Name:YAMOKOSKI, STEPHAN ARTHUR (DDS)
Entity type:Individual
Prefix:
First Name:STEPHAN
Middle Name:ARTHUR
Last Name:YAMOKOSKI
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 1:1630 SCHILLER
Mailing Address - Street 2:#6
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223
Mailing Address - Country:US
Mailing Address - Phone:330-923-2664
Mailing Address - Fax:330-928-4223
Practice Address - Street 1:1630 SCHILLER
Practice Address - Street 2:#6
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223
Practice Address - Country:US
Practice Address - Phone:330-923-2664
Practice Address - Fax:330-928-4223
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14555122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223G0001XDental ProvidersDentistGeneral Practice