# CREEKSIDE ENDODONTICS, A YOUNG DENTAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1588047120
- **Authorized official:** DR. ERIC WILLIAM YOUNG DDS MMSC (GENERAL PARTNER)
- **Authorized official phone:** (415) 513-2455

## Contact information

- **Practice address:** 2310 E. BIDWELL ST. \#150, FOLSOM, CA 95630
- **Practice address phone:** (916) 983-7700
- **Practice address fax:** (916) 983-7981
- **Mailing address:** 2310 E. BIDWELL ST. \#150, FOLSOM, CA 95630
- **Mailing address phone:** (916) 983-7700
- **Mailing address fax:** (916) 983-7981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 56904 | CA | — |
| 1223E0200X | Endodontics | 58227 | CA | Yes |

## Other

- **Enumeration date:** 07/01/2015
- **Last updated:** 09/08/2023