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Contact Information

CREEKSIDE ENDODONTICS, A YOUNG DENTAL GROUP, INC.
2310 E. BIDWELL ST. #150
FOLSOM, CA95630
 Phone: 916-983-7700
 Fax: 916-983-7981
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CREEKSIDE ENDODONTICS, A YOUNG DENTAL GROUP, INC.

NPI # 1588047120
LBN Legal business name CREEKSIDE ENDODONTICS, A YOUNG DENTAL GROUP, INC.
Authorized official ERIC YOUNG - (GENERAL PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2015
Last updated 09/08/2023 - About 3 years ago
Identifiers
CA License # 56904
CA License # 58227
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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