National Provider Identifier Database

STEPHEN YALLOURAKIS, MD – NPI #1760486682
Oral & Maxillofacial Surgery


Contact Information

STEPHEN YALLOURAKIS, MD
105 W STONE DR
STE 1A
KINGSPORT, TN37660-3256
Phone: 423-246-8211
Fax:
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Oral and Maxillofacial Surgery 1223S0112X

* Indicates primary specialty

NPI Profile & details for STEPHEN YALLOURAKIS

NPI Number 1760486682
Credentials MD
Entity Individual
Enumeration date 06/09/2005
Last updated 09/24/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • TN License #: DS7016
  • TN License #: MD24477
  • TN Medicaid: 3075591
  • VA Medicaid: 7322721
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for STEPHEN YALLOURAKIS, MD

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