Provider Demographics
NPI:1144341116
Name:YEE, BRIAN JAMES (DDS)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:JAMES
Last Name:YEE
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 1:1801 E 12TH ST
Mailing Address - Street 2:STE#212
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-3500
Mailing Address - Country:US
Mailing Address - Phone:216-621-6991
Mailing Address - Fax:216-621-6725
Practice Address - Street 1:1801 E 12TH ST
Practice Address - Street 2:STE#212
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-3500
Practice Address - Country:US
Practice Address - Phone:216-621-6991
Practice Address - Fax:216-621-6725
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300177181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice