Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bobby Yasso

Individual provider General Practice Dentistry · NPI 1700400363

Dr. Bobby Yasso is a General Practice Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1636 N 51st Ave
Phoenix, AZ 85035-3936
Phone: (602) 904-5901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D010659 (AZ)
General Practice Dentistry Taxonomy 1223G0001X · Licence D010659 (AZ)

Record details

NPI number1700400363
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 29, 2020
Last updated in NPPESMay 29, 2020
Certification dateMay 29, 2020

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