Young Greenfield Dental Practice LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

YOUNG GREENFIELD DENTAL PRACTICE LLC

Doing business as

Silvertree Dental Center

Practice address

1798 Melody LN
Greenfield, IN 46140-1191

Phone

(317) 468-9996

NPI assigned

Mar 28, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Randy C Young, DDSNPI 1396966073

Title

President

Phone

(317) 902-3185

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Silvertree Dental Center Doing business as

Locations

Practitioners 1

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

• Randy Carl Young, D.D.S.

  • Dentist
  • Rushville, IN
  • NPI 1396966073
  NPD Authorized official

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585353600000",
    "number": "1699303446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 E FAIRWAY VILLAGE DR",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408160",
            "telephone_number": "317-902-3185",
            "fax_number": "765-932-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 MELODY LN",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401191",
            "telephone_number": "317-468-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG GREENFIELD DENTAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-28",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-902-3185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396966073",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silvertree Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chavaughn Woods, BCBA
• Amy R. Wooldridge, MD
• Kristy Lee Woolery
• Angela Wright, BCBA
• Candice Wyatt, PA-C
• Kirbie Young, RN
• Kayla Zaleski
• Kelle Zeabart, LCSW
• Zearing Health Care Investors LLC (Zearing Health Care Center)
• Amber N Zendzian, DPT

• Dental Clinic/Center in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.