Provider Demographics
NPI:1144688573
Name:LIN, YING-YIEN MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:YING-YIEN
Middle Name:MICHAEL
Last Name:LIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:MICHAEL
Other - Middle Name:Y
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:300 SUNTREE LN UNIT 307
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-5163
Mailing Address - Country:US
Mailing Address - Phone:281-745-8710
Mailing Address - Fax:
Practice Address - Street 1:345 9TH ST
Practice Address - Street 2:SUITE #302
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-6522
Practice Address - Country:US
Practice Address - Phone:510-986-6888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-30
Last Update Date:2016-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program