National Provider Identifier

Kevin Yuan, DMD

Kevin Yuan, DMD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-5051.

NPI 1366174963Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1366174963
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
June 30, 2022
Last Updated
June 30, 2022

Practice Location

  • 625 Elmwood Ave
  • Rochester, NY 14620-2913

Phone: (585) 275-5051

Mailing Address

  • 625 Goodman St S Apt 107
  • Rochester, NY 14620-1556

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1366174963
Entity Type
Individual
Last Name
Yuan
First Name
Kevin
Name Prefix
Dr.
Credential
DMD
Mailing Street Address
625 Goodman St S Apt 107
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-1556
Mailing Country
US
Mailing Phone
(585) 371-1432
Practice Street Address
625 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2913
Practice Country
US
Practice Phone
(585) 275-5051
Enumeration Date
June 30, 2022
Last Updated
June 30, 2022
Sex
Male
Sole Proprietor
No
Certification Date
June 30, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)