Young, Stephanie R

Young, Stephanie R is an individual health care provider with primary practice located at 506 1St Ave Se , Cullman AL 35055-4301. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Young, Stephanie R can be contacted via phone (256) 739-3337.

Contact Information

Primary practice address
506 1St Ave Se Cullman AL 35055-4301
Fax: (256) 739-3165
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4895 Alabama

Profile Details

NPI number 1982716403
LBN Legal business name Young, Stephanie R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 2nd, 2008 - about 17 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 1982716403 NPPES
Alabama MEDICAID 009936996

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