Mark J. Young, DDS, MMSC, Inc.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

MARK J. YOUNG, DDS, MMSC, INC.

Practice address

1665 Creekside Dr
Suite 103
Folsom, CA 95630-3538

Phone

(916) 983-7700

Fax

(916) 983-7981

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark J Young, DDS

Title

Owner

Phone

(916) 983-7700

Specialties & licenses 1

Addresses

Other names 1

• Creekside Endodontics Doing business as

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1306178967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 CREEKSIDE DR",
            "address_2": "SUITE 103",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303538",
            "telephone_number": "916-983-7700",
            "fax_number": "916-983-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 CREEKSIDE DR",
            "address_2": "SUITE 103",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303538",
            "telephone_number": "916-983-7700",
            "fax_number": "916-983-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J. YOUNG, DDS, MMSC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-983-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gretchen Pasion Marcelino, PHARMD, BCPS
• Maria Gloria Estipona,D.D.S.,Inc.
• Evelyn Dorothy Marios, MFT
• Mark David Levine, MD Folsom PC
• Mark Engel Dental Practice a Dental Corporation
• Mark W Roberts MD Inc
• Kay Marlowe, LCSW
• Nadia Martens, O.D.
• Dorina Lynn Martin, OTRL
• Genoa Marleena Martin, DPT

• Endodontics in Folsom, CA
• Providers in Folsom, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.