Dr. Ronald Gordon Young, DMD
Dentist in Mobile, AL. Individual provider (NPI-1).
NPI number1124758024
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1124758024
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ronald Gordon Young
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2022
- Certification date
- Jun 14, 2022
- Last updated
- Jun 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D-0007070-C1 | AL | Yes |
Practice location
5651 Three Notch RdMobile, AL 36619-1617
Phone 251-661-1003
Mailing address
64 Williams CtMobile, AL 36606-1405
Phone 251-377-6542
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