Provider Demographics
NPI:1679574289
Name:YU, JOCELYN ESTRELLA (DDS)
Entity type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:ESTRELLA
Last Name:YU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2401 LITTLE ELM PARKWAY
Mailing Address - Street 2:1100
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068
Mailing Address - Country:US
Mailing Address - Phone:972-370-9588
Mailing Address - Fax:972-370-9587
Practice Address - Street 1:2401 LITTLE ELM PKWY STE 1100
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-2076
Practice Address - Country:US
Practice Address - Phone:972-370-9588
Practice Address - Fax:972-370-9587
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-04
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212371223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170633501Medicaid
TX21237OtherSTATE LICENSE NUMBER