Jack C. Yi, D.D.S.

General Practice Dentistry · Olympia Fields, IL

Individual Active NPI

NPI number 1619095593

Practice location

3240 Vollmer Rd
Olympia Fields, IL 60461-1122
Phone
(708) 481-3866
Fax
(708) 481-8210

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NPI record

NPI
1619095593
Entity type
Individual (Type 1)
Enumeration date
March 27, 2007
Last updated
September 24, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019024195 IL

About Dr. Yi

Jack C. Yi, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3240 Vollmer Rd, Olympia Fields, IL 60461-1122. The NPI number 1619095593 was assigned on March 27, 2007 and the record was last updated on September 24, 2010.

Dr. Yi lists a license in the registry: #019024195 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack C. Yi, D.D.S.?

The NPI number is 1619095593.

What is the phone number of Dr. Yi?

The phone number listed for the practice location is (708) 481-3866.

Where is Dr. Yi located?

3240 Vollmer Rd, Olympia Fields, IL 60461-1122.

What is the taxonomy code for Dr. Yi?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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