Joseph Spencer Young, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

PEDO 61-83 Issued in MS

Practice address

1855 Crane Ridge Dr
Suite B
Jackson, MS 39216-4944

Phone

(601) 982-8585

Fax

(601) 981-2323

NPI assigned

Feb 4, 2009

Sex

Male

Sole proprietor

No

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

Practice roles

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

• Milling Pediatric Dentistry PLLC

  • Dental Clinic/Center
  • Jackson, MS
  • NPI 1346992815
  NPD (past)

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1760620322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 CRANE RIDGE DR",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164944",
            "telephone_number": "601-982-8585",
            "fax_number": "601-981-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 CRANE RIDGE DR",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164944",
            "telephone_number": "601-982-8585",
            "fax_number": "601-981-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOSEPH",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "PEDO 61-83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Young, LPC
• Genevieve M Young, PHARMD, RPH
• Grenisha L Young, APRN, FNP-C
• Jennifer Young, LPC
• Joanna Elizabeth Young, MD
• Kathryn A. Young, M.D.
• Kewanza R Young, FNP-BC
• Kimberly Latasha Young
• Lashun A. Young, PH.D.
• Lisimba Young

• Pediatric Dentistry in Jackson, MS
• Providers in Jackson, MS by specialty
• Pediatric Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.