Young, Grant Richard
Young, Grant Richard is an individual health care provider with primary practice located at 609 Jackson Grant R Young Dds, Wausau WI 54403. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Young, Grant Richard can be contacted via phone (715) 845-6222.Contact Information
Primary practice address
609 Jackson Grant R Young Dds
Wausau WI 54403
Phone: (715) 845-6222
Fax: (715) 845-6222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0003201 | Wisconsin |
Profile Details
| NPI number | 1740388644 |
|---|---|
| LBN Legal business name | Young, Grant Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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