Provider Demographics
NPI:1144353764
Name:WILLIAM R. YANT, D.D.S., P.A.
Entity type:Organization
Organization Name:WILLIAM R. YANT, D.D.S., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:YANT
Authorized Official - Suffix:
Authorized Official - Credentials:D,D,S,
Authorized Official - Phone:301-334-2225
Mailing Address - Street 1:15703 GARRETT HWY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-4030
Mailing Address - Country:US
Mailing Address - Phone:301-334-2225
Mailing Address - Fax:301-334-2331
Practice Address - Street 1:15703 GARRETT HWY
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-4030
Practice Address - Country:US
Practice Address - Phone:301-334-2225
Practice Address - Fax:301-334-2331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD110101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty