Craig A Young in Prescott - Orthodontics And Dentofacial Orthopedics
Craig A Young - NPI 1801085063
Craig A Young is a Orthodontics And Dentofacial Orthopedics in Prescott, Arizona. Craig A Young practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Craig A Young is 1801085063. The last update date is 2019-04-15.
Craig A Young's current location address is 1055 Ruth St., Prescott, Arizona. You can contact this provider via phone number 9287758448 and fax number 9284433278. The mailing address for Craig A Young is 1055 Ruth St., Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig A Young |
|---|---|
| Address | 1055 Ruth St., Prescott, Arizona |
| Phone Number | 9287758448 |
| Fax Number | 9284433278 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1801085063 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2019-04-15 |
Provider Mailing Address Detail
| Address | 1055 Ruth St. |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 86301 |
| Phone Number | 9287758448 |
| Fax Number | 9284433278 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 7399 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1801085063 | AZ | ARIZONA NPI |
Post Comment/ Review Below
What is the unique identification code assigned to Craig A Young by the Centers for Medicare & Medicaid Services?
The Craig A Young has been issued the NPI (National Provider Identifier) 1801085063. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Craig A Young's physical address?
The Craig A Young is physically located at 1055 Ruth St., in the city of Prescott, AZ, with the postal code 86301.
What is Craig A Young's specialized field of practice, and what is the corresponding taxonomy classification code?
The Craig A Young's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Craig A Young receive the assignment of its 1801085063 from the Centers for Medicare & Medicaid Services?
The Craig A Young was issued its 1801085063 by the Centers for Medicare & Medicaid Services on 2007-10-23.
As of what date were the details related to Craig A Young most recently updated or revised?
The information pertaining to Craig A Young, including its address, specialty, and other relevant details, was last updated or revised on 2019-04-15.
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