Russell E. Young in Woodlyn - General Practice
Russell E. Young - NPI 1003977331
Russell E. Young is a General Practice in Woodlyn, Pennsylvania. Russell E. Young practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell E. Young is 1003977331. The last update date is 2007-07-08.
Russell E. Young's current location address is Fairview Rd. At 5th Ave., Woodlyn, Pennsylvania. You can contact this provider via phone number 6108332660 and fax number 6108335833. The mailing address for Russell E. Young is Fairview Rd. At 5th Ave., Woodlyn, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell E. Young |
|---|---|
| Address | Fairview Rd. At 5th Ave., Woodlyn, Pennsylvania |
| Phone Number | 6108332660 |
| Fax Number | 6108335833 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1003977331 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Fairview Rd. At 5th Ave. |
|---|---|
| City | Woodlyn |
| State | Pennsylvania (PA) |
| Post Code | 19094 |
| Phone Number | 6108332660 |
| Fax Number | 6108335833 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 22057-L |
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Definition: 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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What is the unique 10-digit identifier code assigned to Russell E. Young by the Centers for Medicare & Medicaid Services?
The Russell E. Young has been issued the NPI (National Provider Identifier) 1003977331 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Russell E. Young?
The Russell E. Young is physically situated at Fairview Rd. At 5Th Ave., in the city of Woodlyn, state of PA, with the postal code 19094.
What is the Russell E. Young's specialty and taxonomy code?
The Russell E. Young's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003977331 to Russell E. Young?
The Centers for Medicare & Medicaid Services originally issued the 1003977331 to Russell E. Young on 2006-12-12.
As of what date was the information regarding Russell E. Young, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Russell E. Young, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.