Organization
SIMMONS AND YOUNG, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH SPENCER YOUNG SR. D.M.D. (PARTNER)
(601) 982-8585
Entity
Organization
Contact information
Practice address
1855 CRANE RIDGE DR, JACKSON, MS 39216-4944
(601) 982-8585
(601) 981-2323
Mailing address
1855 CRANE RIDGE DR, JACKSON, MS 39216-4944
(601) 982-8585
(601) 981-2323
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
PEDO 1-70
MS
1223P0221X
Pediatric Dentistry
Primary
PEDO 61-83
MS
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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