Thomas A. Youngblood, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

21026 Issued in TX

Practice address

128 Nacogdoches St
Center, TX 75935-3852

Phone

(432) 682-1614

Fax

(432) 685-3405

NPI assigned

Dec 12, 2006

Last updated

May 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JLS Dental PLLC

  • General Practice Dentistry
  • Center, TX
  • NPI 1871951541
  Authorized official Same address or phone
• JSL Dental, PLLC

  dba Midland Children's Dental Center

  • Dentist
  • Midland, TX
  • NPI 1750559498
  Authorized official Same address or phone
• Daniel J Hinckley DDS

  dba kidsmile

  • Dentist
  • San Angelo, TX
  • NPI 1558537316
  NPD (past)
• Daniel J. Hinckley DDS PLLC

  • General Practice Dentistry
  • San Angelo, TX
  • NPI 1528917432
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1760542245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 NACOGDOCHES ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353852",
            "telephone_number": "432-682-1614",
            "fax_number": "432-685-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NACOGDOCHES ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353852",
            "telephone_number": "432-682-1614",
            "fax_number": "432-685-3405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4083 W Loop 306",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769045909",
            "country_code": "US",
            "telephone_number": "325-297-1088",
            "fax_number": "325-297-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2141 Hamilton Way Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769046887",
            "country_code": "US",
            "telephone_number": "325-949-6656",
            "fax_number": "325-947-2423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5620",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1528917432",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1558537316",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100845850A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1862898",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Shea Williams, DPT
• Windham Family Dental of Shelby County, PLLC
• Clayton Paul Windham, D.D.S.
• Danny Paul Windham, D.D.S.
• Debrah J Worsham, D.D.S.
• Crystal Liliana Zuniga, FNP

• Dentist in Center, TX
• Providers in Center, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.