Young Dentistry, PC
Clinic/Center, Dental in Lowell, MA. Organization (NPI-2).
NPI number1679966352
StatusActive
Last updated in NPPESMar 5, 2015
Details
- NPI
- 1679966352
- Entity type
- Organization (NPI-2)
- Legal business name
- Young Dentistry, PC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2015
- Last updated
- Mar 5, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 21292 | MA | Yes |
Practice location
674 Rogers StLowell, MA 01852-3836
Phone 978-459-0594
Mailing address
674 Rogers StLowell, MA 01852-3836
Authorized official
Young K Son
Owner
8573837988
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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