Walter Fuller Young in Atlanta - Dentist

Walter Fuller Young - NPI 1003019050

Walter Fuller Young is a Dentist in Atlanta, Georgia. Walter Fuller Young practices all healthcare services and medical treatments related to Dentist. The NPI Number for Walter Fuller Young is 1003019050. The last update date is 2008-10-24.

Walter Fuller Young's current location address is 2265 Cascade Rd Sw, Atlanta, Georgia. You can contact this provider via phone number 4047534753 and fax number 4047534228. The mailing address for Walter Fuller Young is 2265 Cascade Rd Sw, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Walter Fuller Young
Address 2265 Cascade Rd Sw, Atlanta, Georgia
Phone Number 4047534753
Fax Number 4047534228
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1003019050
Provider Enumeration Date 2007-06-07
Last Updated Date 2008-10-24

Provider Mailing Address Detail

Address 2265 Cascade Rd Sw
City Atlanta
State Georgia (GA)
Post Code 303112801
Phone Number 4047534753
Fax Number 4047534228

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 7392
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00057153A GA --

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FAQs about Walter Fuller Young

What is the unique provider identifier assigned to Walter Fuller Young?

The Walter Fuller Young has been issued the NPI (National Provider Identifier) 1003019050 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Walter Fuller Young's physical address?

The Walter Fuller Young is physically located at 2265 Cascade Rd Sw, in the city of Atlanta, GA, with the postal code 303112801.

What is Walter Fuller Young's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Walter Fuller Young's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

When was the Walter Fuller Young's 1003019050 issued?

The Walter Fuller Young's 1003019050 was issued on 2007-06-07.

As of what date was the information pertaining to Walter Fuller Young, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Walter Fuller Young, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-10-24.

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