Edward D Young Dds Pc in Grand Rapids - Orthodontics And Dentofacial Orthopedics
Edward D Young Dds Pc - NPI 1154414886
Edward D Young Dds Pc is a Orthodontics And Dentofacial Orthopedics in Grand Rapids, Michigan. Edward D Young Dds Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Edward D Young Dds Pc is 1154414886. The last update date is 2020-08-22.
Edward D Young Dds Pc's current location address is 4310 Leonard Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6167910230. The mailing address for Edward D Young Dds Pc is 4310 Leonard Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Edward D Young Dds Pc |
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Address | 4310 Leonard Nw, Grand Rapids, Michigan |
Phone Number | 6167910230 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Young D Edward |
Credentials | DDS |
Telephone Number | 6167910230 |
NPI Number Detail
NPI Number | 1154414886 |
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Provider Enumeration Date | 2006-10-02 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 4310 Leonard Nw |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 49534 |
Phone Number | 6167910230 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 2901013995 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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4563730 | MI | -- |
Post Comment/ Review Below
What is the Edward D Young Dds Pc's unique identification number?
The Edward D Young Dds Pc has been assigned the NPI (National Provider Identifier) Number 1154414886 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 physical address where Edward D Young Dds Pc is located?
The Edward D Young Dds Pc is situated at the following address: 4310 Leonard Nw, Grand Rapids, MI, 49534.
What is Edward D Young Dds Pc's area of expertise and its corresponding taxonomy classification?
The Edward D Young Dds Pc's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154414886 to Edward D Young Dds Pc?
The Centers for Medicare & Medicaid Services originally issued the 1154414886 to Edward D Young Dds Pc on 2006-10-02.
When was the information regarding Edward D Young Dds Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edward D Young Dds Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY