Provider Demographics
NPI:1831329325
Name:KUSHNER, YANA (DDS)
Entity type:Individual
Prefix:
First Name:YANA
Middle Name:
Last Name:KUSHNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 N US HIGHWAY 183
Mailing Address - Street 2:STE. 150
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-8990
Mailing Address - Country:US
Mailing Address - Phone:512-260-0123
Mailing Address - Fax:512-260-0110
Practice Address - Street 1:651 N US HIGHWAY 183
Practice Address - Street 2:STE. 150
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-8990
Practice Address - Country:US
Practice Address - Phone:512-260-0123
Practice Address - Fax:512-260-0110
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX247481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice