Roland I. Young, DDS, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

29538 Issued in CA

Legal business name

ROLAND I. YOUNG, DDS, INC.

Practice address

1316 Coffee Rd Ste E14
Modesto, CA 95355-3191

Phone

(209) 522-9963

Fax

(209) 522-5184

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roland Ian Young, D.D.S.

Title

Owner/Doctor

Phone

(209) 522-9963

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1710134085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 COFFEE RD STE E14",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553191",
            "telephone_number": "209-522-9963",
            "fax_number": "209-522-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 COFFEE RD STE E14",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553191",
            "telephone_number": "209-522-9963",
            "fax_number": "209-522-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLAND I. YOUNG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "209-522-9963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "29538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B29538-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Alana Rojas
• Regina Rona Rojas
• Serena Jessica Rojas
• Victor Rojas
• Beth Rokaitis, SLP
• Jocelyn Roland, PH.D.
• David Bruce Rollins, MD
• Taiwana Machelle Rollins, BACHELOR PSYCHOLOGY
• Nalanie Makayla Roman
• Sandra M Roman

• Oral and Maxillofacial Surgery (Dentist) in Modesto, CA
• Providers in Modesto, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.