Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RAVEN ELAINE YAYAH, DDS
Active Sole ProprietorDR. RAVEN ELAINE YAYAH, DDS is a Orthodontics healthcare provider located in O FALLON, Illinois. NPI 1174288153 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · O FALLON, IL
Registration Details
- NPI Number
- 1174288153
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 3, 2021 (4.7423501720572 yrs)
- Last Updated
- Jul 16, 2024
- Licenses
-
2021044569 (MO)019.034684 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4905 STONE FALLS CTR UNIT AO FALLON, IL, 622697802Browse IL providers · Browse ZIP 62269
- Phone
- 6186223377
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. AVA LAUREN HOOD-OLSON | D.M.D. | 1528166253 |
| KIRK DOUGLAS SATROM | D.D.S., M.S. | 1386788768 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.