Scarlett Clarice Young, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1002595-15 Issued in WI

Practice address

657 N Main St
Shawano, WI 54166-1216

Phone

(715) 524-2581

Fax

(715) 524-6271

NPI assigned

Apr 13, 2021

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 and National Provider Directory roles.

• Ashley Walsh and Associates, LLC

  • Dental Clinic/Center
  • Shawano, WI
  • NPI 1427525450
  NPD
• Walsh Dental Appleton, LLC

  • Dental Clinic/Center
  • Appleton, WI
  • NPI 1184478810
  NPD

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1679153563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S LAFAYETTE ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662346",
            "telephone_number": "715-853-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 N MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541661216",
            "telephone_number": "715-524-2581",
            "fax_number": "715-524-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532332186",
            "country_code": "US",
            "telephone_number": "715-853-2427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SCARLETT",
        "middle_name": "CLARICE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002595-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill M Witte, NP
• Brian Wojcik, PHARMD
• Wolf River Dental LLC
• Amy Wondra
• Sheila Woodke
• Wendi S Zaddack, MASTERS
• Haley Marie Zakrzewski
• Zander Dental SC
• Jeffrey L Zander, DDS
• Heather Zimba, MD

• Dentist in Shawano, WI
• Providers in Shawano, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.