Individual
DR. WILLIAM BRUCE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
505 PELHAM RD S, JACKSONVILLE, AL 36265-2775
(256) 435-4464
(256) 435-2079
Mailing address
505 PELHAM RD S, JACKSONVILLE, AL 36265-2775
(256) 435-4464
(256) 435-2079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3308
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000097747
—
AL
01
—
51097747
BLUE CROSS/BLUE SHIELD ID
AL
01
—
793127
UNITED CONCORDIA ID
—
Enumeration date
07/26/2006
Last updated
07/09/2007
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