Young and Short, a Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

31170 Issued in CA

Legal business name

YOUNG AND SHORT, A DENTAL CORPORATION

Practice address

646 N Diamond Bar Blvd
Diamond Bar, CA 91765-1037

Phone

(909) 861-2661

Fax

(909) 861-6951

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry P Young Sr., DDS

Title

President Owner

Phone

(909) 861-2661

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1699863654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 N DIAMOND BAR BLVD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651037",
            "telephone_number": "909-861-2661",
            "fax_number": "909-861-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 N DIAMOND BAR BLVD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651037",
            "telephone_number": "909-861-2661",
            "fax_number": "909-861-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AND SHORT, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "909-861-2661",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "31170",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "32662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Li Yin
• Bonnie Yoo, LCSW
• Hana Yoo
• Kay Kyunghwa Yoo, D.D.S.
• Sung J Yoo, MD
• Jerry P. Young, D.D.S.
• Yu Care Medical Group, Inc.
• Yu Wei Chou, D.D.S., Inc.
• Bo Yu, DDS, PHD, FACD
• Yiu Yu

• Dentist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.