Edward D Young Dds Pc

LBN: Edward D Young Dds Pc
Edward D Young Dds Pc is an health care organization with primary practice located at 4310 Leonard Nw , Grand Rapids MI 49534. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Edward D Young Dds Pc can be contacted via phone (616) 791-0230, or through Young, Edward D via phone (616) 791-0230.

Contact Information

Primary practice address
4310 Leonard Nw Grand Rapids MI 49534
Phone: (616) 791-0230
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Young, Edward D Doctor of Dental Surgery (DDS)
Phone: (616) 791-0230

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2901013995 Michigan

Profile Details

NPI number 1154414886
LBN Legal business name Edward D Young Dds Pc
DBA Doing business as
Authorized official Young, Edward D Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154414886 NPPES
Michigan MEDICAID 4563730

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