| Doctor Name: | DR. JIE YANG |
| NPI Number: | 1720381353 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DMD |
| License Number: | DS031578L |
| Business Practice Address: | 317 Wild Prairie Ct Maple Glen, PA - 190021125 |
| Business Phone Number: | 2159080781 |
| Business Fax Number: | |
| Mailing Address: | 317 Wild Prairie Ct, MAPLE GLEN |
| State: | PA |
| Postal Code: | 190021125 |
| Phone Number: | 2159080781 |
| Fax Number: | |
| NPI Enumeration Date: | 12/21/2010 |
| NPI Last Update Date: | 05/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223X0008X |
| License Number: | DS031578L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Oral and Maxillofacial Radiology |
| Taxonomy Definition: | The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |