ROBERT YACKO, DDS, PC


Address: 6750 W Peoria Ave, Suite 134, Peoria, AZ 85345-9316
Phone: 6238783722

ROBERT YACKO, DDS, PC (NPI# 1609062876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609062876
Entity Type Organization
Organization Name ROBERT YACKO, DDS, PC
Practice Address 6750 W Peoria Ave
Suite 134
Peoria
AZ 85345-9316
Practice Telephone 6238783722
Practice Fax Number 6234868380
Mailing Telephone 6238783722
Mailing Fax Number 6234868380
Enumeration Date 2007-09-20
Last Update Date 2007-09-20
Authorized Official Name DR. ROBERT B YACKO (DENTIST)
Authorized Official Telephone 6238783722
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
D4166 AZ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ DENTIST TRIENNIAL D4166 01

Office Location

Street Address 6750 W PEORIA AVE
SUITE 134
City PEORIA
State AZ
Zip Code 85345-9316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669438099 Gary Arland Collins Chiropractor 6750 W Peoria Ave, Ste 119, Peoria, AZ 85345-9316 2006-04-25

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1144545120 Lawrence William Wolfe Pharmacist 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 2010-04-01
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912520347 Dr. Reese Turner, Dds, PC Clinic/Center 9059 W Lake Pleasant Pkwy Ste A100, Peoria, AZ 85382-8393 2020-05-20
1386280840 Tru Dental LLC Clinic/Center 8325 W. Happy Valley Rd, Building 1 Suite 100, Peoria, AZ 85383-8538 2019-11-20
1609343987 Dental Excellence Pllc Clinic/Center 20403 N Lake Pleasant Rd Ste 121, Peoria, AZ 85382-9707 2018-10-25
1417445099 Cooperman Family Dentistry Pllc Clinic/Center 25101 N Lake Pleasant Pkwy # B-1335, Peoria, AZ 85383-1386 2018-04-29
1992202139 Peoria Dental LLC Clinic/Center 7417 N Knoxville Ave, Peoria, IL 61614-2019 2018-04-12
1598262917 A Tender Dental Care V LLC Clinic/Center 25355 N Lake Pleasant Pkwy Unit 103, Peoria, AZ 85383-1504 2018-04-11
1578987699 Cactus Dental Care LLC Clinic/Center 7440 W Cactus Rd Ste A18, Peoria, AZ 85381-9534 2014-02-10
1588897789 Rio Vista Dental Arts Pllc Clinic/Center 9145 W Thunderbird Rd, H-105, Peoria, AZ 85381-4820 2009-09-03
1700490992 Tooth Corps Pllc Clinic/Center 13660 N 94th Dr Ste B1, Peoria, AZ 85381-4848 2020-09-03
1689283814 Core Family Dental Clinic/Center 13460 N 94th Dr Ste K4, Peoria, AZ 85381-4249 2020-07-23
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Competitor

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City PEORIA
Zip Code 85345

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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