Organization
YOUNG ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK ROBERT YOUNG DDS MSD (PRESIDENT)
(812) 639-8443
Entity
Organization
Contact information
Practice address
5108 BELLEMEADE AVE, EVANSVILLE, IN 47715-4134
(812) 477-9294
Mailing address
5108 BELLEMEADE AVE, EVANSVILLE, IN 47715-4134
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12011014A
IN
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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