Timothy Daniel Yan
Dentist, General Practice in Lawton, OK. Individual provider (NPI-1).
NPI number1154259356
StatusActive
Last updated in NPPESMay 11, 2026
Details
- NPI
- 1154259356
- Entity type
- Individual (NPI-1)
- Name
- Timothy Daniel Yan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2026
- Certification date
- May 10, 2026
- Last updated
- May 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 862280 | PA | Yes |
Practice location
4301 Wilson StLawton, OK 73503-4472
Phone 833-286-3732
Mailing address
9630 Susies WayEllicott City, MD 21042-2308
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