Andre Lamar Young, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH008520 Issued in GA

Practice address

230 Duncan Dr BLDG 1440
Savannah, GA 31409-5107

Phone

(912) 315-5417

Fax

(912) 315-5773

NPI assigned

Jul 18, 2016

Last updated

Jul 18, 2016By 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 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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1780037473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 DUNCAN DR BLDG 1440",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314095107",
            "telephone_number": "912-315-5417",
            "fax_number": "912-315-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 DUNCAN DR BLDG 1440",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314095107",
            "telephone_number": "912-315-5417",
            "fax_number": "912-315-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANDRE",
        "middle_name": "LAMAR",
        "name_prefix": "Mr.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "GA",
            "license": "DH008520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• York Neurology Group
• Stephen S. Yost, DO
• Katherine Youlio, PTA
• Tina Sims Youmans, APRN
• Aliya Maria Young
• Brianna Young
• Constance Young, LPN
• Erica Blaikie Young, MD
• Erin K Young, PT, DPT
• Geri Eileen Young, MSW, LCSW

• Dental Hygienist in Savannah, GA
• Providers in Savannah, GA by specialty
• Dental Hygienist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.