Jeremy J Youngblood in Kansas City - Periodontics

Jeremy J Youngblood - NPI 1881813392

Jeremy J Youngblood is a Periodontics in Kansas City, Missouri. Jeremy J Youngblood practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jeremy J Youngblood is 1881813392. The last update date is 2007-07-08.

Jeremy J Youngblood's current location address is 6301 N Oak Trfy, Kansas City, Missouri. You can contact this provider via phone number 8164532323 and fax number 8164533130. The mailing address for Jeremy J Youngblood is 6301 N Oak Trfy, Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy J Youngblood
Address 6301 N Oak Trfy, Kansas City, Missouri
Phone Number 8164532323
Fax Number 8164533130
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1881813392
Provider Enumeration Date 2007-04-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6301 N Oak Trfy
City Kansas City
State Missouri (MO)
Post Code 641184705
Phone Number 8164532323
Fax Number 8164533130

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 13891
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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FAQs about Jeremy J Youngblood

What is the Jeremy J Youngblood's unique identification number?

The Jeremy J Youngblood has been assigned the NPI (National Provider Identifier) Number 1881813392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Jeremy J Youngblood is physically located?

The Jeremy J Youngblood is situated at the following address: 6301 N Oak Trfy, Kansas City, MO 641184705.

What is Jeremy J Youngblood's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jeremy J Youngblood is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1881813392 to Jeremy J Youngblood?

The Centers for Medicare & Medicaid Services originally issued the 1881813392 to Jeremy J Youngblood on 2007-04-24.

As of what date was the information regarding Jeremy J Youngblood, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jeremy J Youngblood, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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