1316131006 NPI number — DR. YURIY Z KOVAL D.D.S.

Table of content: DR. YURIY Z KOVAL D.D.S. (NPI 1316131006)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316131006 NPI number — DR. YURIY Z KOVAL D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KOVAL
Provider First Name:
YURIY
Provider Middle Name:
Z
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316131006
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/30/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1250 MANN DR
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
MATTHEWS
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28105-5543
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-234-0138
Provider Business Mailing Address Fax Number:
855-273-3784

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1250 MANN DR
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
MATTHEWS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28105-5543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-234-0138
Provider Business Practice Location Address Fax Number:
855-273-3784
Provider Enumeration Date:
09/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  8467 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5907990 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com