Organization
LPFD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN MICHAEL YOUNG DDS (OWNER)
(918) 742-1987
Entity
Organization
Contact information
Practice address
5319 S LEWIS AVE STE 222, TULSA, OK 74105-6543
(918) 742-1987
(918) 744-0761
Mailing address
5319 S LEWIS AVE STE 222, TULSA, OK 74105-6543
(918) 742-1987
(918) 744-0761
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457709438
NPI NUMBERS
OK
Enumeration date
12/15/2020
Last updated
12/15/2020
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