Organization
YOUNG SMILES PEDIATRIC DENTISTRY- SOUTHGATE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA MAYES YOUNG DMD (OWNER)
(859) 781-4100
Entity
Organization
Contact information
Practice address
525 ALEXANDRIA PIKE STE 330, SOUTHGATE, KY 41071-3243
(859) 781-4100
(859) 781-0170
Mailing address
525 ALEXANDRIA PIKE STE 330, SOUTHGATE, KY 41071-3243
(859) 781-4100
(859) 781-0170
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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