# STANLEY A. YOUNG D.D.S. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467661041
- **Authorized official:** DR. STANLEY A YOUNG D.D.S. (PRESIDENT)
- **Authorized official phone:** (260) 493-3526

## Contact information

- **Practice address:** 6038 E STATE BLVD, FORT WAYNE, IN 46815-7639
- **Practice address phone:** (260) 493-3526
- **Practice address fax:** (260) 749-8033
- **Mailing address:** 6038 E STATE BLVD, FORT WAYNE, IN 46815-7639
- **Mailing address phone:** (260) 493-3526
- **Mailing address fax:** (260) 749-8033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12007190 | IN | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/30/2007