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Organization

WILLIAM BRUCE YOUNG DMD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM BRUCE YOUNG DMD (DENTIST/OWNER)
(256) 435-4464
Entity
Organization

Contact information

Practice address
505 PELHAM RD S, STE A, JACKSONVILLE, AL 36265-2775
(256) 435-4464
(256) 435-2079
Mailing address
505 PELHAM RD S, STE A, JACKSONVILLE, AL 36265-2775
(256) 435-4464
(256) 435-2079

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3308
AL
1223P0221X
Pediatric Dentistry
4566
AL

Other

Enumeration date
09/13/2010
Last updated
09/13/2010
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