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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D4166 | AZ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | DENTIST TRIENNIAL | D4166 | 01 |
Street Address |
6750 W PEORIA AVE SUITE 134 |
City | PEORIA |
State | AZ |
Zip Code | 85345-9316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669438099 | Gary Arland Collins | Chiropractor | 6750 W Peoria Ave, Ste 119, Peoria, AZ 85345-9316 | 2006-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
1578057378 | Marigold Home Care LLC | In Home Supportive Care | 8917 N 90th Ave, Peoria, AZ 85345 | 2018-06-15 |
1518341551 | Recovery Innovations, Inc | Respite Care | 11361 N 99th Avenue, Suite 107, Peoria, AZ 85345 | 2015-07-18 |
1952655110 | Pmc Pain Management Center Pllc | Clinic/Center | 8914 N.91 Ave, Peoria, AZ 85345 | 2012-11-08 |
1831462993 | Mary Kate Burdick | Veterinarian | 9960 N 91st Ave, Peoria, AZ 85345 | 2012-02-20 |
1144545120 | Lawrence William Wolfe | Pharmacist | 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 | 2010-04-01 |
1306169917 | Katherine Thompson Hinkle | Pharmacist | 7455 West Cactus, Frys Food and Drug, Peoria, AZ 85345 | 2010-03-10 |
1033307715 | American Current Care of Arizona Pa | Clinic/Center | 7400 West Olive Avenue, Suite 1, Peoria, AZ 85345 | 2007-10-09 |
1184746802 | Assisted Living Concepts Inc | Assisted Living Facility | 10401 North 79th Avenue, Peoria, AZ 85345 | 2007-04-04 |
Find all providers in zip 85345 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
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 |
Find all providers in PEORIA |
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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.