Organization Active NPI

Mark E. Young, DDS, PC

  • Dentist
  • White River Junction, VT
National Provider Identifier
1497977532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0160001211 Issued in VT
Legal business name
MARK E. YOUNG, DDS, PC
Practice address
205 Billings Farm Rd Unit 1
White River Junction, VT 05001-5400
Phone
(802) 295-5611
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark E Young, DDSNPI 1205870268
Title
President
Phone
(802) 295-5611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0160001211 VT Primary

Addresses

Primary practice location

205 Billings Farm Rd Unit 1
White River Junction, VT 05001-5400

Mailing address

PO Box 338
Norwich, VT 05055-0338
Phone (802) 295-5611

National Provider Directory

National Provider Directory

Locations

205 Billings Farm Rd
Unit 1
White River Junction, VT 05001
Phone (802) 295-5611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497977532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050550338",
            "telephone_number": "802-295-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD UNIT 1",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050015400",
            "telephone_number": "802-295-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. YOUNG, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-295-5611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VT",
            "license": "0160001211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.