Active NPI
George B. Young, D.D.S.
- General Practice Dentistry
- Blairstown, NJ
National Provider Identifier
1215112271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9383
- Practice address
- 222 Rte. 94
Blairstown, NJ 07825 - Phone
- (908) 362-8274
- NPI assigned
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9383 | NJ | Primary |
Addresses
Primary practice location
222 Rte. 94
Blairstown, NJ 07825
Mailing address
P.O. Box 114
222 Rte. 94
Blairstown, NJ 07825
Phone (908) 362-8274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9383 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1215112271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 114",
"address_2": "222 RTE. 94",
"city": "BLAIRSTOWN",
"state": "NJ",
"postal_code": "07825",
"telephone_number": "908-362-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 RTE. 94",
"city": "BLAIRSTOWN",
"state": "NJ",
"postal_code": "07825",
"telephone_number": "908-362-8274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "GEORGE",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "9383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blairstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.