Provider Demographics
NPI:1053427773
Name:YEUNG, ADRIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:
Last Name:YEUNG
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 1:802 64TH ST STE 3F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4730
Mailing Address - Country:US
Mailing Address - Phone:718-491-8633
Mailing Address - Fax:
Practice Address - Street 1:802 64TH ST STE 3F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4730
Practice Address - Country:US
Practice Address - Phone:718-491-8633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYL052070-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist