National Provider Identifier
John Meena Yacoub, DDS
John Meena Yacoub, DDS is listed in the NPPES registry with a primary specialty of Dentist in Bayside, NY and a listed phone number of (718) 909-9049.
Profile Overview
- NPI
- 1154745677
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- February 05, 2014
- Last Updated
- November 05, 2018
Practice Location
- 30-18 208Th St
- Bayside, NY 14120
Phone: (718) 909-9049
Mailing Address
- 3018 208Th St
- Bayside, NY 11360-2423
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1154745677
- Entity Type
- Individual
- Last Name
- Yacoub
- First Name
- John
- Middle Name
- Meena
- Credential
- DDS
- Mailing Street Address
- 3018 208Th St
- Mailing City
- Bayside
- Mailing State
- NY
- Mailing ZIP Code
- 11360-2423
- Mailing Country
- US
- Mailing Phone
- (718) 909-9049
- Practice Street Address
- 30-18 208Th St
- Practice City
- Bayside
- Practice State
- NY
- Practice ZIP Code
- 14120
- Practice Country
- US
- Practice Phone
- (718) 909-9049
- Enumeration Date
- February 05, 2014
- Last Updated
- November 05, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)