Brian Todd Young in Jacksonville - Periodontics
Brian Todd Young - NPI 1578758132
Brian Todd Young is a Periodontics in Jacksonville, Florida. Brian Todd Young practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Brian Todd Young is 1578758132. The last update date is 2007-09-07.
Brian Todd Young's current location address is 11945 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9042683434 and fax number 9042888882. The mailing address for Brian Todd Young is 11945 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Todd Young |
|---|---|
| Address | 11945 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9042683434 |
| Fax Number | 9042888882 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1578758132 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 11945 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322231613 |
| Phone Number | 9042683434 |
| Fax Number | 9042888882 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN15890 |
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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 unique provider identifier assigned to Brian Todd Young?
The Brian Todd Young has been issued the NPI (National Provider Identifier) 1578758132 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Brian Todd Young is located?
The Brian Todd Young is situated at the following address: 11945 San Jose Blvd, Jacksonville, FL, 322231613.
What is Brian Todd Young's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brian Todd Young is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did Brian Todd Young receive its 1578758132 assignment from the Centers for Medicare & Medicaid Services?
The Brian Todd Young was assigned its 1578758132 on 2007-09-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Brian Todd Young's information last updated?
The Brian Todd Young's information was last updated on 2007-09-07.