Clyde Yost Dds Pa in San Antonio - Pediatric Dentistry
Clyde Yost Dds Pa - NPI 1164692091
Clyde Yost Dds Pa is a Pediatric Dentistry in San Antonio, Texas. Clyde Yost Dds Pa practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Clyde Yost Dds Pa is 1164692091. The last update date is 2008-03-06.
Clyde Yost Dds Pa's current location address is 102 Palo Alto Rd, Ste 400, San Antonio, Texas. You can contact this provider via phone number 2109248770 and fax number 2109219650. The mailing address for Clyde Yost Dds Pa is 102 Palo Alto Rd, Ste 400, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clyde Yost Dds Pa |
|---|---|
| Address | 102 Palo Alto Rd, Ste 400, San Antonio, Texas |
| Phone Number | 2109248770 |
| Fax Number | 2109219650 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HYGIENIST |
|---|---|
| Authorized Official Name | Yost J Bette |
| Credentials | RDH |
| Telephone Number | 2109248770 |
NPI Number Detail
| NPI Number | 1164692091 |
|---|---|
| Provider Enumeration Date | 2008-03-06 |
| Last Updated Date | 2008-03-06 |
Provider Mailing Address Detail
| Address | 102 Palo Alto Rd, Ste 400 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782113793 |
| Phone Number | 2109248770 |
| Fax Number | 2109219650 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12092 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique identifier code issued to Clyde Yost Dds Pa by the Centers for Medicare & Medicaid Services?
The Clyde Yost Dds Pa has been assigned the NPI (National Provider Identifier) 1164692091. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Clyde Yost Dds Pa located?
The Clyde Yost Dds Pa is located at 102 Palo Alto Rd, Ste 400, San Antonio, TX 782113793.
What is the Clyde Yost Dds Pa's specialty and taxonomy code?
The Clyde Yost Dds Pa's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Clyde Yost Dds Pa receive its 1164692091 assignment from the Centers for Medicare & Medicaid Services?
The Clyde Yost Dds Pa was assigned its 1164692091 by the Centers for Medicare & Medicaid Services on 2008-03-06.
As of what date were the details pertaining to Clyde Yost Dds Pa last refreshed?
The information related to the Clyde Yost Dds Pa, including its address, specialty, and other relevant details, was last updated on 2008-03-06.