Young Family Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

License

4766943 Issued in UT

Legal business name

YOUNG FAMILY DENTAL INC

Practice address

8159 S. 4800 W.
West Jordan, UT 84088-8213

Phone

(801) 601-8200

Fax

(801) 996-3641

NPI assigned

Oct 19, 2016

Organization subpart

Yes

Parent organization

YOUNG FAMILY DENTAL INCAs reported in NPPES

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

Authorized official

Name

Susan John

Title

Practice Admin

Phone

(801) 224-0222

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Young Family Dental Inc2 organizations share this tax ID, including this one

Part of

Young Family Dental

Other organizations with this tax ID 1

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

• Young Family Dental WJ

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1942757570
  NPD tax ID

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1407307986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8159 S. 4800 W.",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888213",
            "telephone_number": "801-601-8200",
            "fax_number": "801-996-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8159 S. 4800 W.",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888213",
            "telephone_number": "801-601-8200",
            "fax_number": "801-996-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG FAMILY DENTAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG FAMILY DENTAL INC",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "801-224-0222"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "4766943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4766943",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Yates, RN
• William James Yavelak, M.D.
• Terry R Yockey, LCSW
• Hyesun Yoo, L.AC.,DIPL.O.M.
• Inseo Yoon
• Young Family Dental WJ
• Adria Young, FNP-C
• Brandy Young
• Craig A Young, DMD
• Makinsey Young

• Dentist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Dentist in Utah

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