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Organization
YOUNG GREENFIELD DENTAL PRACTICE LLC
Active
Organization
YOUNG GREENFIELD DENTAL PRACTICE LLC
Active
Other names
Silvertree Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY C YOUNG DDS (PRESIDENT)
(317) 902-3185
Entity
Organization
Contact information
Practice address
1798 MELODY LN, GREENFIELD, IN 46140-1191
(317) 468-9996
Mailing address
2850 E FAIRWAY VILLAGE DR, GREENFIELD, IN 46140-8160
(317) 902-3185
(765) 932-5174
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396966073
—
IN
Enumeration date
03/28/2020
Last updated
03/28/2020
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