Candace Yong, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35265 Issued in TX

Practice address

444 Forest SQ Ste E
Longview, TX 75605-4463

Phone

(903) 758-5551

Fax

(903) 758-5877

NPI assigned

Jul 15, 2019

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

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1104478650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 FOREST SQ STE E",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054463",
            "telephone_number": "903-758-5551",
            "fax_number": "903-758-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOREST SQ STE E",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054463",
            "telephone_number": "903-758-5551",
            "fax_number": "903-758-5877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 S Central St",
            "address_purpose": "LOCATION",
            "city": "Hallsville",
            "state": "TX",
            "postal_code": "756506012",
            "country_code": "US",
            "telephone_number": "903-660-5140",
            "fax_number": "903-660-5142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YONG",
        "first_name": "CANDACE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Yvonne Wynn, MT019073
• Kumari Unnati Yadav, PHARM.D
• Sudha Rani Yanamandra, M.D.
• Christopher A Yancey, MD
• Nathan Yang
• Katheryn Lynn Young, PHYSICIAN ASSISTANT
• Lay'C Kathleen Young, FNP-C
• Randall Wayne Young, CRNA
• Reham Youssef, MD
• Ypvp Inc.

• General Practice Dentistry in Longview, TX
• Providers in Longview, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.