Doctor Name: | DR. SALLY YOUNG |
NPI Number: | 1043481609 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DMD |
License Number: | 10099 |
Business Practice Address: | 2 Lester Ct Statesboro, GA - 304582118 |
Business Phone Number: | 9124891386 |
Business Fax Number: | 9127648533 |
Mailing Address: | 715 Northside Dr E, Suite 5, Pmb #395 STATESBORO |
State: | GA |
Postal Code: | 304584712 |
Phone Number: | 9124891386 |
Fax Number: | 9127648533 |
NPI Enumeration Date: | 03/21/2008 |
NPI Last Update Date: | 03/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 10099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |