Young, Peggy Jean

Young, Peggy Jean is an individual health care provider with primary practice located at 3801 Blue Pkwy , Kansas City MO 64130-2807. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Young, Peggy Jean can be contacted via phone (816) 923-5800.

Contact Information

Primary practice address
3801 Blue Pkwy Kansas City MO 64130-2807
Phone: (816) 923-5800
Fax: (816) 448-2945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 012562 Missouri

Profile Details

NPI number 1679583637
LBN Legal business name Young, Peggy Jean
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Apr 7th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679583637 NPPES
Missouri MEDICAID 400586103

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