Provider Demographics
NPI:1902239007
Name:YAMOAH, ALBERT KOFI (DDS)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:KOFI
Last Name:YAMOAH
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 1:2904 GROVELAND CT
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-0587
Mailing Address - Country:US
Mailing Address - Phone:214-455-4487
Mailing Address - Fax:
Practice Address - Street 1:3502 CORINTH PKWY # 400
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76208-5481
Practice Address - Country:US
Practice Address - Phone:940-353-5437
Practice Address - Fax:940-247-7077
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29367122300000X, 1223P0221X
OK7133122300000X
OK1081223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist