# YOUNG GREENFIELD DENTAL PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Silvertree Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699303446
- **Authorized official:** DR. RANDY C YOUNG DDS (PRESIDENT)
- **Authorized official phone:** (317) 902-3185

## Contact information

- **Practice address:** 1798 MELODY LN, GREENFIELD, IN 46140-1191
- **Practice address phone:** (317) 468-9996
- **Mailing address:** 2850 E FAIRWAY VILLAGE DR, GREENFIELD, IN 46140-8160
- **Mailing address phone:** (317) 902-3185
- **Mailing address fax:** (765) 932-5174

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2020
- **Last updated:** 03/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1396966073 | — | IN |