STEPHEN YALLOURAKIS MD NPI 1760486682

NPI Information

  • NPI: 1760486682
  • Provider Name: STEPHEN YALLOURAKIS, MD
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • Address: 105 W STONE DR
    STE 1A
    KINGSPORT, TN
    ZIP 37660
  • Phone: (423) 246-8211

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NPI Details

Stephen Yallourakis, MD is an oral maxillofacial surgery in Kingsport, TN. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Stephen Yallourakis, MD NPI is 1760486682. 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:

105 W STONE DR
STE 1A
KINGSPORT, TN
ZIP 37660-256
Phone: (423) 246-8211

The enumeration date for this NPI number is 6/9/2005 and was last updated on 9/24/2009.

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
11223S0112XDentistOral and Maxillofacial SurgeryDS7016TENNESSEENo
2204E00000XOral & Maxillofacial SurgeryMD24477TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1103I086169MEDICARE UPIN
27322721MEDICAIDVIRGINIA
3F17695MEDICARE UPIN
40281780001MEDICARE PIN
50281780003MEDICARE PIN
63075591MEDICAIDTENNESSEE
73075591MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

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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