IndividualActive
Jonathan Yang, DDS
NPI 1003082652 · General Practice Dentistry · Lapine, OR
Provider details
- NPI number
- 1003082652
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D7823 (OR)
Specialties & taxonomies
Dental Providers
Practice location
16475 Bluewood Pl
Lapine, OR 97739
Phone: (541) 536-0264
Fax: (541) 536-0266
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2999
La Pine, OR 97739-2999
Registry dates
- Enumerated
- 2008-05-05
- Last updated
- 2008-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.