DR. GLENN RICHARD YOUNG D.D.S. - NPI 1306972658 - Dentist in Windsor Heights, IA

Q: What is Glenn Young's NPI number?

The NPI number for Glenn Young is 1306972658. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Q: What is Glenn Young's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Young was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Glenn Richard Young D.d.s. NPPES

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

DR. GLENN RICHARD YOUNG D.D.S. (NPI 1306972658) is an individual periodontics provider in Windsor Heights, Iowa, licensed in Iowa (7809) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1306972658

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. GLENN RICHARD YOUNGCredential: D.D.S.

Location Address974 73RD ST, STE.#3Windsor Heights, IA 50312-1024

Mailing Address974 73rd St, Ste.#3Windsor Heights, IA 50312-1024 · (515) 224-1771 · Fax (515) 224-1771

Phone(515) 224-1771

Fax(515) 224-1771

Sole ProprietorYes

Enumeration DateFebruary 23, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1306972658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in IA · 7809

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

974 73RD ST, Windsor Heights, IA 50312

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