DR. DOUGLAS MICHAEL YARRIS D.D.S. NPI 1063667590

NPI Information

  • NPI: 1063667590
  • Provider Name: DR. DOUGLAS MICHAEL YARRIS, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 716 2ND AVE
    CROCKETT, CA
    ZIP 94525
  • Phone: (510) 787-1471

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NPI Details

DR. Douglas Michael Yarris, D.D.S. is a general practice dentist in Crockett, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Douglas Michael Yarris, D.D.S. NPI is 1063667590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

716 2ND AVE
CROCKETT, CA
ZIP 94525-111
Phone: (510) 787-1471
Fax: (510) 787-3018

The enumeration date for this NPI number is 11/25/2008 and was last updated on 11/25/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice031887CALIFORNIAYes

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: 11/21/2025

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