Individual
DR. JACOB OVERTON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5540 SUNSET BLVD, LEXINGTON, SC 29072-9262
(803) 358-8250
Mailing address
111 BRICKWORKS DR APT 1209, CAYCE, SC 29033-4432
(417) 429-7777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9906
SC
Other
Enumeration date
06/07/2021
Last updated
06/29/2021
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