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JOHN D. YOUNG DDS NPI 1689761645


NPI Information

NPI: 1689761645
Provider Name: JOHN D. YOUNG, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
2829 BABCOCK RD
SUITE 126
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 692-9556
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John D. Young, DDS is an oral and maxillofacial surgery dentist in San Antonio, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. John D. Young, DDS NPI is 1689761645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2829 BABCOCK RD
SUITE 126
SAN ANTONIO, TX
ZIP 78229-028
Phone: (210) 692-9556
Fax: (210) 692-0909

The enumeration date for this NPI number is 10/9/2006 and was last updated on 6/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryD12925TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D12925OTHERTEXASBLUE CROSS AND BLUE SHIELD
2110902702MEDICAIDTEXAS
3D12925MEDICARE PINTEXAS
4T87270MEDICARE UPINTEXAS
5110902701MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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