Joseph B Young Dmd Pc

LBN: Joseph B Young Dmd Pc
Joseph B Young Dmd Pc is an health care organization with primary practice located at 15405 Sw 116Th Ave Ste 208 , Tigard OR 97224-4101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Joseph B Young Dmd Pc can be contacted via phone (503) 684-0507, or through Young, Joseph Brian via phone (503) 684-0507.

Contact Information

Primary practice address
15405 Sw 116Th Ave Ste 208 Tigard OR 97224-4101
Phone: (503) 684-0507
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Young, Joseph Brian Doctor of Dental Medicine (DMD)
Phone: (503) 684-0507

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D9430 Oregon

Profile Details

NPI number 1295083509
LBN Legal business name Joseph B Young Dmd Pc
DBA Doing business as
Authorized official Young, Joseph Brian Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2012
Last updated Aug 16th, 2012 - about 12 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 1295083509 NPPES
Oregon MEDICAID 534819

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