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DR. ERIC PHILIP YOUNGNER D.D.S.
NPI 1124254248
Dentist in Saint Paul, MN

Active since June 03, 2009Opted out of Medicare · through May 11, 2027
800 CALIFORNIA AVE W, SAINT PAUL, MN 55117(763) 639-7196 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Eric Philip Youngner D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC PHILIP YOUNGNER D.D.S. (NPI 1124254248) is an individual dentist in Saint Paul, Minnesota, licensed in Minnesota (D12645) and active in the NPI registry since June 2009. He has opted out of Medicare through May 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124254248
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ERIC PHILIP YOUNGNERCredential: D.D.S.
Location Address800 CALIFORNIA AVE WSaint Paul, MN 55117-3456
Mailing Address11800 Aberdeen St NeBlaine, MN 55449-4808 · (763) 639-7196
Phone(763) 639-7196
Sole ProprietorNo
Enumeration DateJune 3, 2009
Last NPPES UpdateJune 18, 2009
✔ NPI 1124254248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D12645
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
800 CALIFORNIA AVE W, Saint Paul, MN 55117
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Eric Philip Youngner D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 11, 2015 through May 11, 2027.

Opt-Out Effective DateMay 11, 2015
Opt-Out In Effect ThroughMay 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Youngner's NPI number?

The NPI number for Eric Youngner is 1124254248. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Eric Youngner located?

Eric Youngner practices at 800 California Ave W, Saint Paul, MN 55117. The listed phone number is (763) 639-7196.

What is Eric Youngner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Eric Youngner enrolled in Medicare?

No. Eric Youngner has opted out of Medicare through May 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eric Youngner was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.