Individual
GREGORY GEORGE YOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
225 RICHMOND AVE E, MATTOON, IL 61938-4651
(217) 235-0435
(217) 234-3418
Mailing address
PO BOX 1217, MATTOON, IL 61938-1217
(217) 235-0434
(217) 234-3418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.020918
IL
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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