DR. KIRK HICKS YOUNG M.S. D.D.S. NPI 1104948124

NPI Information

  • NPI: 1104948124
  • Provider Name: DR. KIRK HICKS YOUNG, M.S., D.D.S.
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1850 BELLAIR BLVD
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 269-6011

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NPI Details

DR. Kirk Hicks Young, M.S., D.D.S. is a periodontics dentist in Orange Park, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Kirk Hicks Young, M.S., D.D.S. NPI is 1104948124. 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:

1850 BELLAIR BLVD
ORANGE PARK, FL
ZIP 32073-516
Phone: (904) 269-6011
Fax: (904) 215-0236

The NPI 1104948124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/3/2007 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsDN 9025FLORIDAYes

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: 11/21/2025

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