Individual provider · Type 1 NPI

Timothy Daniel Yan

General Practice Dentistry · Lawton, OK

NPI number 1154259356 Active

Practice location

4301 Wilson St
Lawton, OK 73503-4472

Mailing address

9630 Susies Way
Ellicott City, MD 21042-2308

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X862280 (PA)

General Practice Dentistry: 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.

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About NPI 1154259356

Timothy Daniel Yan's National Provider Identifier is 1154259356, issued on May 11, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lawton, OK. The record was last updated on May 11, 2026.