Gregg Candler Youngblood, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010072 Issued in GA

Practice address

51 S Peachtree St
Norcross, GA 30071-2503

Phone

(770) 448-3552

Fax

(770) 448-3552

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720114341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S PEACHTREE ST",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712503",
            "telephone_number": "770-448-3552",
            "fax_number": "770-448-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S PEACHTREE ST",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712503",
            "telephone_number": "770-448-3552",
            "fax_number": "770-448-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "GREGG",
        "middle_name": "CANDLER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey M Yette, RBT
• Barnabas Yoo
• Young Yoo, D.C.
• Stephanie D York, FNP
• Jenny Young, PHARMD
• Richard Carol Zabowski, D.C.
• Jon A Zarett, DPM
• Mehrab Jonathon Zarian-Dero, P.A
• Ying Ming Zhang, M.D.
• Hongli Zhao, DMD

• General Practice Dentistry in Norcross, GA
• Providers in Norcross, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.