| Stanley A. Young D.d.s. P.c. | |
|
6038 E State Blvd Fort Wayne IN 46815-7639 | |
| (260) 493-3526 | |
| (260) 749-8033 |
| Full Name | Stanley A. Young D.d.s. P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6038 E State Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Stanley A Young (PRESIDENT) |
| Authorized Official Contact | 2604933526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley A. Young D.d.s. P.c. 6038 E State Blvd Fort Wayne IN 46815-7639 Ph: (260) 493-3526 | Stanley A. Young D.d.s. P.c. 6038 E State Blvd Fort Wayne IN 46815-7639 Ph: (260) 493-3526 |
| NPI Number | 1467661041 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467661041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12007190 (Indiana) | Primary |
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