Kirk Hicks Young in Orange Park - Periodontics
Kirk Hicks Young - NPI 1104948124
Kirk Hicks Young is a Periodontics in Orange Park, Florida. Kirk Hicks Young practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Kirk Hicks Young is 1104948124. The last update date is 2007-07-08.
Kirk Hicks Young's current location address is 1850 Bellair Blvd, Orange Park, Florida. You can contact this provider via phone number 9042696011 and fax number 9042150236. The mailing address for Kirk Hicks Young is 1850 Bellair Blvd, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirk Hicks Young |
|---|---|
| Address | 1850 Bellair Blvd, Orange Park, Florida |
| Phone Number | 9042696011 |
| Fax Number | 9042150236 |
| Sole Proprietor | Y |
| Credentials | M.S., D.D. |
NPI Number Detail
| NPI Number | 1104948124 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1850 Bellair Blvd |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320734516 |
| Phone Number | 9042696011 |
| Fax Number | 9042150236 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN 9025 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the Kirk Hicks Young's unique identification number?
The Kirk Hicks Young has been assigned the NPI (National Provider Identifier) Number 1104948124 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kirk Hicks Young located?
The Kirk Hicks Young is located at 1850 Bellair Blvd, Orange Park, FL 320734516.
What is Kirk Hicks Young's area of expertise and its corresponding taxonomy classification?
The Kirk Hicks Young's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1104948124 to Kirk Hicks Young?
The Kirk Hicks Young received its 1104948124 assignment from the Centers for Medicare & Medicaid Services on 2007-04-03.
When was the Kirk Hicks Young's information last updated?
The Kirk Hicks Young's information was last updated on 2007-07-08.