Individual
TAPHAPHENE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
217 SOUTH ST, HOLYOKE, MA 01040-3611
(413) 319-1078
Mailing address
217 SOUTH ST, HOLYOKE, MA 01040-3611
(413) 319-1078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL14882
MA
1223D0004X
Dental Anesthesiology
DN1859821
MA
1223E0200X
Endodontics
DN1859821
MA
1223G0001X
General Practice Dentistry
Primary
DN1859821
MA
1223G0001X
General Practice Dentistry
FY1029506
MA
1223P0221X
Pediatric Dentistry
DN1859821
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN1859821
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN1859821
MA
Other
Enumeration date
07/28/2021
Last updated
10/16/2023
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