Individual
JAMIL BRIAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10677 US 15 501 HWY STE 100, SOUTHERN PINES, NC 28387-5154
(910) 295-5980
(910) 295-3593
Mailing address
1289 GARDEN DR, LONGVIEW, TX 75603-6871
(903) 931-2099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13602
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2023
Last updated
03/18/2024
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