# CHARLES E. YOUNG, JR, DDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Collierville Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285703884
- **Authorized official:** CHARLES EDMUND YOUNG JR. D.D.S. (OWNER)
- **Authorized official phone:** (901) 853-2520

## Contact information

- **Practice address:** 624 W POPLAR AVE, COLLIERVILLE, TN 38017-2540
- **Practice address phone:** (901) 853-2520
- **Practice address fax:** (901) 854-9273
- **Mailing address:** 624 W POPLAR AVE, COLLIERVILLE, TN 38017-2540
- **Mailing address phone:** (901) 853-2520
- **Mailing address fax:** (901) 854-9273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS0000002304 | TN | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/22/2020
