Individual
DR. BURTON RAY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 S 13TH ST, MURRAY, KY 42071-2358
(270) 753-1206
(270) 753-1216
Mailing address
111 S 13TH ST, MURRAY, KY 42071-2358
(270) 753-1206
(270) 753-1216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4524
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144483
ANTHEM PROVIDER #
KY
05
—
60045242
—
KY
01
—
Y486
FEP PROVIDER #
KY
Enumeration date
12/05/2006
Last updated
07/09/2007
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