Glenn Richard Young in Windsor Heights - Periodontics
Glenn Richard Young - NPI 1306972658
Glenn Richard Young is a Periodontics in Windsor Heights, Iowa. Glenn Richard Young practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Glenn Richard Young is 1306972658. The last update date is 2007-07-09.
Glenn Richard Young's current location address is 974 73rd St, Windsor Heights, Iowa. You can contact this provider via phone number 5152241771 and fax number 5152241771. The mailing address for Glenn Richard Young is 974 73rd St, Windsor Heights, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Richard Young |
|---|---|
| Address | 974 73rd St, Windsor Heights, Iowa |
| Phone Number | 5152241771 |
| Fax Number | 5152241771 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1306972658 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 974 73rd St |
|---|---|
| City | Windsor Heights |
| State | Iowa (IA) |
| Post Code | 503121024 |
| Phone Number | 5152241771 |
| Fax Number | 5152241771 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 7809 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 134098 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Glenn Richard Young by the Centers for Medicare & Medicaid Services?
The Glenn Richard Young has been assigned the NPI (National Provider Identifier) 1306972658 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Glenn Richard Young's physical address?
The Glenn Richard Young is physically located at 974 73Rd St, in the city of Windsor Heights, IA, with the postal code 503121024.
What is Glenn Richard Young's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Glenn Richard Young is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Glenn Richard Young receive its 1306972658 assignment from the Centers for Medicare & Medicaid Services?
The Glenn Richard Young was assigned its 1306972658 by the Centers for Medicare & Medicaid Services on 2007-02-23.
When was the Glenn Richard Young's information last updated?
The Glenn Richard Young's information was last updated on 2007-07-09.