Walter Lee Young Jr., DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10285 Issued in GA

Practice address

7001 Hodgson Memorial Dr. #3
Savannah, GA 31406-2549

Phone

(912) 352-2021

Fax

(912) 354-7729

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James W Holland DMD PC

  • Periodontics
  • Savannah, GA
  • NPI 1417152422
  NPD (past)
• Savannah Perio & Implants

  • Dental Clinic/Center
  • Savannah, GA
  • NPI 1518307412
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1447366786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 HODGSON MEMORIAL DR. #3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062549",
            "telephone_number": "912-352-2021",
            "fax_number": "912-354-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 HODGSON MEMORIAL DR. #3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062549",
            "telephone_number": "912-352-2021",
            "fax_number": "912-354-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WALTER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "GA10285",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "10285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janae K Young
• Jeremy Daniel Young, APRN
• Mary Griffin Fry Young
• Petra Young, LPN
• Rebecca Young, RN
• Zachary Young
• Julia Gainey Yount
• Your Choice Personal Assisting LLC
• Youth Evolution Track LLC
• Ja'Casia C Yow

• Periodontics in Savannah, GA
• Providers in Savannah, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.