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GEORGE M. YELLICH DDS MS. INC. AND CHENG DDS MD INC PARTNERSHIP NPI 1881869337


NPI Information

NPI: 1881869337
Provider Name: GEORGE M. YELLICH, DDS, MS., INC. AND CHENG, DDS, MD, INC, PARTNERSHIP

Doing Business As: SANTA CRUZ ORAL AND MAXILLOFACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1663 DOMINICAN WAY
SUITE 112
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 475-0221
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GEORGE M. YELLICH, DDS, MS., INC. AND CHENG, DDS, MD, INC, PARTNERSHIP is an oral and maxillofacial surgery dentist in Santa Cruz, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. GEORGE M. YELLICH, DDS, MS., INC. AND CHENG, DDS, MD, INC, PARTNERSHIP NPI is 1881869337. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Santa Cruz Oral And Maxillofacial Surgery.

The provider's business location address is:

1663 DOMINICAN WAY
SUITE 112
SANTA CRUZ, CA
ZIP 95065-527
Phone: (831) 475-0221
Fax: (831) 475-3573

The provider's authorized official is Tyese K Evans .
The authorized official title is Practice Administrator and has the following contact phone number (831) 475-0221.

The enumeration date for this NPI number is 4/25/2008 and was last updated on 4/25/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery23580CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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