Winnie L. Young, D.D.S., Inc,

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

43577 Issued in CA

Legal business name

WINNIE L. YOUNG, D.D.S., INC,

Practice address

508 S Harbor Blvd
Fullerton, CA 92832-2411

Phone

(714) 680-9595

NPI assigned

Feb 28, 2012

Organization subpart

No

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

Authorized official

Name

Winnie L Young, DDS

Title

President

Phone

(714) 680-9595

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1306110051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322411",
            "telephone_number": "714-680-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322411",
            "telephone_number": "714-680-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNIE L. YOUNG, D.D.S., INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-680-9595",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "43577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1467582759",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Douglas Wilson, DDS
• Stephen M Wilson, M.D.
• Windsor Gardens Healthcare Center of Fullerton, LLC
• Willem Winkelman, ATC, EMT-B
• Karen Marie Winkle, SLP
• Sydney T Winstead
• Jeffrey Victor Winston, M.D.
• Wishes Hospice Care Corporation
• Inga Witfoth, LAC
• With Home Health Inc

• Dental Clinic/Center in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.