Michael Lloyd Young, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901016519 Issued in MI

Practice address

39242 Dequindre Rd, Suite 106
Sterling Heights, MI 48310-4831

Phone

(248) 689-9183

Fax

(248) 689-6855

NPI assigned

May 2, 2007

Last updated

May 26, 2021By the provider in NPPES

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forever Young Dentistry Bayside PC

  • General Practice Dentistry
  • Lenox, MI
  • NPI 1760263248
  NPD
• Michael L. Young DDS

  dba Forever Young Dentistry

  • General Practice Dentistry
  • Sterling Heights, MI
  • NPI 1578138806
  NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1083835391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39242 DEQUINDRE RD, SUITE 106",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104831",
            "telephone_number": "248-689-9183",
            "fax_number": "248-689-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39242 DEQUINDRE RD, SUITE 106",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104831",
            "telephone_number": "248-689-9183",
            "fax_number": "248-689-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MICHAEL",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Patricia Young, LMSW
• Joshua Young
• Karen Irene Young, PHD
• Lashana Young
• Michael Jesse Young
• Robert Young, BSW
• Zakiya Young
• Veronica Youngblood, LMSW
• Yourx Pharmacy LLC
• Anita Yousef

• Dentist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.