Provider Demographics
NPI:1205242427
Name:JAYARATNE, YASAS SHRI NALAKA (BDS, MDS, PHD)
Entity type:Individual
Prefix:DR
First Name:YASAS
Middle Name:SHRI NALAKA
Last Name:JAYARATNE
Suffix:
Gender:M
Credentials:BDS, MDS, PHD
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Mailing Address - Street 1:24601 SOUTHWEST FWY STE 200
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-6266
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11021 SHADOW CREEK PKWY STE 108
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7401
Practice Address - Country:US
Practice Address - Phone:281-241-1411
Practice Address - Fax:281-241-4345
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX334681223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics