Jin Young Yoo

Primary specialty

DentistTaxonomy code 122300000X

License

DN10000847 Issued in MA

Practice address

95 Washington St Ste 222
Canton, MA 02021-4009

Phone

(781) 451-3150

NPI assigned

Mar 3, 2023

Last updated

Jul 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Canton Modern Dentistry, PC

  • General Practice Dentistry
  • Canton, MA
  • NPI 1932845641
  NPD

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1508566118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST STE 222",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214009",
            "telephone_number": "781-451-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "JIN YOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor R. Williams, RN
• Melissa Wilson, LMHC
• Frances Witham, LICSW
• Jennifer Diana Marie Woodbury, M.D.E.
• Victoria S Yampolsky, OD
• Lissa Young, PH.D.
• Sandzhar Yusupov
• Z Hinedi MD PC
• Nuala A Zaferacopoulos
• Lauren Zambello, MSW, LICSW

• Dentist in Canton, MA
• Providers in Canton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.