Organization
BRIAN JACOBSON, DDS AND ALLYN YOUNG, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLYN C YOUNG DDS (PRESIDENT)
(734) 522-6770
Entity
Organization
Contact information
Practice address
31550 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(734) 522-6770
(734) 522-4062
Mailing address
31550 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(734) 522-6770
(734) 522-4062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
013163
MI
1223G0001X
General Practice Dentistry
Primary
014485
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013163
DENTAL LICENSE, B JACOBSO
MI
01
—
014485
DENTAL LICENSE, A YOUNG
MI
Enumeration date
11/07/2006
Last updated
11/10/2014
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