Young Family Dentistry, LLC
Dentist, General Practice in Joplin, MO. Organization (NPI-2).
NPI number1417467366
StatusActive
Last updated in NPPESFeb 9, 2018
Details
- NPI
- 1417467366
- Entity type
- Organization (NPI-2)
- Legal business name
- Young Family Dentistry, LLC
- Organization subpart
- No
- Enumeration date
- Oct 5, 2017
- Last updated
- Feb 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 16111 | MO | Yes |
Practice location
2640 E 32nd St Ste 6Joplin, MO 64804-4303
Phone 417-781-3440 · Fax 417-708-0781
Mailing address
2640 E 32nd St Ste 6Joplin, MO 64804-4303
Phone 417-781-3440 · Fax 417-708-0781
Authorized official
Lori Young
Owner
4175290688
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