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BLAKE YOUNG
NPI 1457005654
Dentist - General Practice in Winston Salem, NC

Active since February 07, 2022
1000 SOUTHPARK BLVD STE C, WINSTON SALEM, NC 27127(336) 788-5073 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2022, Feb 7, 2022 (2 updates tracked since 2022).

About Blake Young NPPES

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

BLAKE YOUNG (NPI 1457005654) is an individual general practice provider in Winston Salem, North Carolina, licensed in North Carolina (12743) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1457005654
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBLAKE YOUNG
Location Address1000 SOUTHPARK BLVD STE CWinston Salem, NC 27127-5072
Mailing Address1000 Southpark BlvdWinston Salem, NC 27127-5072
Phone(336) 788-5073
Sole ProprietorNo
Enumeration DateFebruary 7, 2022
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1457005654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 12743
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1000 SOUTHPARK BLVD STE C, Winston Salem, NC 27127
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Other Identifiers 1

Other1275751224NC · Leal, Spangler And Johnson Dds, Pa Group Npi

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 Blake Young's NPI number?

The NPI number for Blake Young is 1457005654. It was assigned to this individual provider in the NPPES registry on February 7, 2022.

Where is Blake Young located?

Blake Young practices at 1000 Southpark Blvd Ste C, Winston Salem, NC 27127. The listed phone number is (336) 788-5073.

What is Blake Young's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Blake Young was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.