| Doctor Name: | DR. MARK FREDERICK YSETH |
| NPI Number: | 1093705477 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.D.S. |
| License Number: | 9283 |
| Business Practice Address: | 229 Jackson St Suite 117 Anoka, MN - 553032287 |
| Business Phone Number: | 7634213330 |
| Business Fax Number: | 7634213331 |
| Mailing Address: | 229 Jackson St, Suite 117 ANOKA |
| State: | MN |
| Postal Code: | 553032287 |
| Phone Number: | 7634213330 |
| Fax Number: | 7634213331 |
| NPI Enumeration Date: | 10/26/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223G0001X |
| License Number: | 9283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |