NPI 1104212968

Xiao Ming Yu, DMD

Practitioner Dentist Bartlett, TN

Practice location

Address: 3105 Kirby Whitten Rd, Bartlett, TN 38134-2822
Phone: (901) 388-9883

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 10014 (TN)

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Registry record

NPI: 1104212968
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2015
Record last updated: 8 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.