Samuel Young DMD Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

33695 Issued in CA

Legal business name

SAMUEL YOUNG DMD INC

Practice address

31538 Whitefield CT
Murrieta, CA 92563-6216

Phone

(951) 760-2481

NPI assigned

Aug 22, 2016

Last updated

Aug 22, 2016By 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

Samuel Young, DMDNPI 1881686285

Title

President

Phone

(951) 760-2481

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Young, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Murrieta, CA
  • NPI 1881686285
  Authorized official Same address or phone
• Michael Craig Maksim, D.D.S.

  • General Practice Dentistry
  • Vista, CA
  • NPI 1871615310
  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1285189092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31538 WHITEFIELD CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925636216",
            "telephone_number": "951-760-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31538 WHITEFIELD CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925636216",
            "telephone_number": "951-760-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL YOUNG DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-760-2481",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "33695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sana Johnson-Quijada, M.D., Inc.

• Oral and Maxillofacial Surgery (Dentist) in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.