Individual
DR. STEPHANIE R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
506 1ST AVE SE, CULLMAN, AL 35055-4301
(256) 739-3337
(256) 739-3165
Mailing address
PO BOX 910, CULLMAN, AL 35056-0910
(256) 739-3337
(256) 739-3165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4895
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936996
—
AL
Enumeration date
08/31/2006
Last updated
07/02/2008
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