Individual
DR. JAMES BRYANT YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3067 N HIGHLAND AVE, JACKSON, TN 38305-3411
(731) 668-7916
Mailing address
95 POPLAR PLAINES ROAD, JACKSON, TN 30305
(731) 668-3728
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3820
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022330
B.C./B.S./ TN
TN
01
—
803388
UNITED CONCORDIA ID
TN
Enumeration date
08/21/2006
Last updated
07/08/2007
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