Young Family Dental SS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4766943-9922 Issued in UT

Legal business name

YOUNG FAMILY DENTAL SS

Practice address

1416 N Redwood Rd
Saratoga Springs, UT 84045-6455

Phone

(801) 766-2112

Fax

(801) 766-5993

NPI assigned

Feb 12, 2007

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 J John

Title

Office Manager

Phone

(801) 766-2112

Specialties & licenses 1

Addresses

Part of

Young Family Dental

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1538200316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 N REDWOOD RD",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "84045",
            "telephone_number": "801-766-2112",
            "fax_number": "801-766-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 N REDWOOD RD",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456455",
            "telephone_number": "801-766-2112",
            "fax_number": "801-766-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG FAMILY DENTAL SS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG FAMILY DENTAL INC",
        "enumeration_date": "2007-02-12",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-766-2112"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "4766943-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Wood, RBT
• Genesis Woodforde
• Jason Paul Wootton, LCSW
• Rachel Wright
• Koffi Wunaki
• Josie Young, PHARMD
• Ryan P Young, DPT
• Britin Youngblooad
• Olivia Youngs
• Zendo Community, LLC

• General Practice Dentistry in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.