Organization
YOUNG DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADDISON CHARLES YOUNG DMD (OWNER/DENTIST)
(859) 623-2425
Entity
Organization
Contact information
Practice address
326 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 623-2425
(859) 623-2426
Mailing address
326 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 623-2425
(859) 623-2426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9503
KY
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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