Provider Demographics
NPI:1902272800
Name:FELLI, YVONNE AKOSUA (DMD)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:AKOSUA
Last Name:FELLI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:YVONNE
Other - Middle Name:AKOSUA
Other - Last Name:HORGLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BDS
Mailing Address - Street 1:600 E BETHANY DR STE D
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-4096
Mailing Address - Country:US
Mailing Address - Phone:956-771-8625
Mailing Address - Fax:
Practice Address - Street 1:600 E BETHANY DR STE D
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-4096
Practice Address - Country:US
Practice Address - Phone:956-771-8625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX317171223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty