| Joseph B Young Dmd Pc | |
|
15405 Sw 116th Ave Ste 208 Tigard OR 97224-4101 | |
| (503) 684-0507 | |
| Not Available |
| Full Name | Joseph B Young Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15405 Sw 116th Ave Ste 208, Tigard, Oregon |
| Authorized Official Name and Position | Joseph Brian Young (DENTIST OWNER) |
| Authorized Official Contact | 5036840507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph B Young Dmd Pc 15405 Sw 116th Ave Ste 208 Tigard OR 97224-4101 Ph: (503) 684-0507 | Joseph B Young Dmd Pc 15405 Sw 116th Ave Ste 208 Tigard OR 97224-4101 Ph: (503) 684-0507 |
| NPI Number | 1295083509 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 08/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295083509 | NPI | - | NPPES |
| 534819 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D9430 (Oregon) | Primary |
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