Individual
DR. ROBERT A YOUNG JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4906 BARDSTOWN RD, SUITE 106, LOUISVILLE, KY 40291-1759
(502) 499-9770
(502) 499-9796
Mailing address
4906 BARDSTOWN RD, SUITE 106, LOUISVILLE, KY 40291-1759
(502) 499-9770
(502) 499-9796
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6037
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431515
UNITED CONCORDIA
KY
05
—
60060373
—
KY
Enumeration date
12/18/2006
Last updated
06/26/2008
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