Younger, Clark & Associates, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8828 Issued in NC

Legal business name

YOUNGER, CLARK & ASSOCIATES, PA

Doing business as

Leesville Dental Care

Practice address

13220 Strickland Road
Suite 166
Raleigh, NC 27613-5245

Phone

(919) 890-5147

Fax

(919) 890-5953

NPI assigned

Oct 19, 2011

Last updated

Oct 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cole E. Younger, DDS

Title

Dentist

Phone

(919) 890-5147

Specialties & licenses 1

Addresses

Other names 1

• Leesville Dental Care Doing business as

Tax ID family

Leesville Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Leesville Dental Care

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1649569344
  NPD tax ID

Locations

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1255616454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13220 STRICKLAND ROAD,",
            "address_2": "SUITE 166",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135245",
            "telephone_number": "919-890-5147",
            "fax_number": "919-890-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 STRICKLAND ROAD",
            "address_2": "SUITE 166",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135245",
            "telephone_number": "919-890-5147",
            "fax_number": "919-890-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGER, CLARK & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "YOUNGER",
        "authorized_official_first_name": "COLE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-890-5147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leesville Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tashia Young
• Thomas Edward Young, M.D.
• Tyler Jonathan Young
• Stephanie Youngblood
• Carley Younger, PTA
• Crystal Eve Younger
• Elaine Youngman, CNS
• Susan Youngsteadt, LCSW
• Keith A Yount, DDS, MAGD, ABOP
• Margery Cameron Yount, CCC-A

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.