Sha-Vashtiy Young-Ufeli, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015995 Issued in GA

Practice address

587 Virginia Ave NE Unit 5
Atlanta, GA 30306-3695

Phone

(404) 389-0700

NPI assigned

Jan 16, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• FL HMO C-SNP

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1013547173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 MEMORIAL DR SE APT 756",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161384",
            "telephone_number": "617-516-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 VIRGINIA AVE NE UNIT 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063695",
            "telephone_number": "404-389-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG-UFELI",
        "first_name": "SHA-VASHTIY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Youn, CNP
• Hadi Younes
• Young Adult Guidance Center, Inc
• Young Men'S Christian Association of Metropolitan Atlanta, Inc.
• Young Minds Psychiatry, LC
• Crystal Young-Wilson, D.O.
• Adam Young, LMSW
• Adam Stephen Young, M.D.
• Alexandria Young
• An Le-Nguyen Young, MD

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.