John Meena Yacoub, DDS

Dentist · Bayside, NY

Individual Active NPI

NPI number 1154745677

Practice location

30-18 208TH St
Bayside, NY 14120
Phone
(718) 909-9049

Open in Google Maps

NPI record

NPI
1154745677
Entity type
Individual (Type 1)
Enumeration date
February 5, 2014
Last updated
November 5, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 058271 NY

Mailing address

3018 208TH St
Bayside, NY 11360-2423
Phone
(718) 909-9049

About Dr. Yacoub

John Meena Yacoub, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 30-18 208TH St, Bayside, NY 14120. The NPI number 1154745677 was assigned on February 5, 2014 and the record was last updated on November 5, 2018.

Dr. Yacoub lists a license in the registry: #058271 (NY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Meena Yacoub, DDS?

The NPI number is 1154745677.

What is the phone number of Dr. Yacoub?

The phone number listed for the practice location is (718) 909-9049.

Where is Dr. Yacoub located?

30-18 208TH St, Bayside, NY 14120.

What is the taxonomy code for Dr. Yacoub?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Bayside

All Dentist providers in Bayside, NY →