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Contact Information

EDWARD D YOUNG DDS PC
4310 LEONARD NW
GRAND RAPIDS, MI49534
 Phone: 616-791-0230
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for EDWARD D YOUNG DDS PC

NPI Number 1154414886
LBN Legal business name EDWARD D YOUNG DDS PC
Authorized official EDWARD YOUNG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MI License # 2901013995
MI Medicaid 4563730
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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