Benjamin Wayne Young Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60868948 Issued in WA

Practice address

3475 N Saratoga St BLDG 993
Oak Harbor, WA 98278-8800

Phone

(360) 257-2302

NPI assigned

Dec 12, 2005

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1043295165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 N SARATOGA ST BLDG 993",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982788800",
            "telephone_number": "360-257-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 N SARATOGA ST BLDG 993",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982788800",
            "telephone_number": "360-257-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BENJAMIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60868948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary R Wotring, MSW
• Grace Isabelle Wright
• Andrew Joseph Wyman, D.D.S.
• Yanina Chambi, DDS, PLLC (Island Family Dentistry)
• Gina Yavelak, BCBA
• David Wallace Young, PA-C
• Jessica Young
• Kristine L Young, PA-C
• Chris Youngblood
• Diana Marie Blau Yusoff

• General Practice Dentistry in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.