Individual
DR. DANIEL J YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4906 BARDSTOWN RD, SUITE 106, LOUISVILLE, KY 40291-1759
(502) 499-9770
(502) 499-9796
Mailing address
4906 BARDSTOWN RD, SUITE 106, LOUISVILLE, KY 40291-1759
(502) 499-9770
(502) 499-9796
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6819
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431515
UNITED CONCORDIA
KY
05
—
6000191400
—
KY
Enumeration date
12/18/2006
Last updated
12/05/2007
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