Dr. Russell E. Young, D.D.S.
Dentist, General Practice in Woodlyn, PA. Individual provider (NPI-1).
NPI number1003977331
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003977331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Russell E. Young
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 22057-L | PA | Yes |
Practice location
Fairview Rd. At 5th Ave.Woodlyn, PA 19094
Phone 610-833-2660 · Fax 610-833-5833
Mailing address
Fairview Rd. At 5th Ave.Woodlyn, PA 19094
Phone 610-833-2660 · Fax 610-833-5833
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