Young Smiles Children'S Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN D1576 Issued in AK

Legal business name

YOUNG SMILES CHILDREN'S DENTISTRY LLC

Doing business as

Young Smiles Children's Dentistry

Practice address

114 Minnie St
Suite a
Fairbanks, AK 99701-3000

Phone

(907) 452-4509

NPI assigned

Sep 12, 2014

Organization subpart

Yes

Parent organization

DALLIN C YOUNG DDS, PAAs reported in NPPES

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

Authorized official

Name

Dallin Young

Title

Chairman

Phone

(208) 404-9888

Specialties & licenses 1

Addresses

Other names 1

• Young Smiles Children's Dentistry Doing business as

Part of

Dallin C Young DDD PA

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1104227883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MINNIE ST",
            "address_2": "SUITE A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013000",
            "telephone_number": "907-452-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MINNIE ST",
            "address_2": "SUITE A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013000",
            "telephone_number": "907-452-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG SMILES CHILDREN'S DENTISTRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DALLIN C YOUNG DDS, PA",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DALLIN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "208-404-9888"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AK",
            "license": "DEN D1576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Smiles Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daesong Yim, PH.D., LAC
• Shane Andrew Yoder, PTA
• Scott York
• Kara Emi Yoshida, APRN-RX
• William E Yost
• Amanda Young, M. ED, NCC
• Brandon L Young, NP
• Jennifer Young, PT
• Jessica A Young, MD
• Keira Youngblood

• Pediatric Dentistry in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Pediatric Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.