MR. MARK C YOUNG DDS INC NPI 1538270368

NPI Information

NPI: 1538270368
Provider Name: MR. MARK C YOUNG, DDS INC
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
314 SO 12TH AVE
SUITE #3
YAKIMA, WA
ZIP 98902
Phone: (509) 453-4504
Get Directions

MR. Mark C Young, DDS INC is a general practice dentist in Yakima, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MR. Mark C Young, DDS INC NPI is 1538270368. 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:

314 SO 12TH AVE
SUITE #3
YAKIMA, WA
ZIP 98902-149
Phone: (509) 453-4504
Fax: (509) 573-4941

The enumeration date for this NPI number is 8/31/2006 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
1	1223G0001X	Dentist	General Practice	6244	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0595	OTHER	WASHINGTON	WASHINGTON DENTAL SERVICE
2	207871100000	OTHER	WASHINGTON	PREMERA BLUE CROSS
3	5026075	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON

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: 11/14/2023

NPI Synchronization or Removal

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