Provider Demographics
NPI:1538184577
Name:YOST, JEFFREY RUSSELL (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:RUSSELL
Last Name:YOST
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 1:100 COOL SPRINGS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7302
Mailing Address - Country:US
Mailing Address - Phone:615-771-4007
Mailing Address - Fax:615-771-1990
Practice Address - Street 1:100 COOL SPRINGS BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-7302
Practice Address - Country:US
Practice Address - Phone:615-771-4007
Practice Address - Fax:615-771-1990
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000007379122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist