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Contact Information

JERRY E YOUNG, DDS
208 WEST 4TH STREET
HOLTON, KS66436
 Phone: 785-364-4636
 Fax: 785-364-4815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JERRY E YOUNG · (Male)

NPI Number 1669573424
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/26/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 4625
  • KS Other 17207 BLUE CROSS & BLUE SHIELD
  • KS Other 627506 UNITED OF CONCORDIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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