Eric W. Young, DDS, MMSC, Inc.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

56904 Issued in CA

Legal business name

ERIC W. YOUNG, DDS, MMSC, INC.

Practice address

1665 Creekside Dr Ste 103
Folsom, CA 95630-3538

Phone

(916) 983-7700

NPI assigned

Jun 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Eric William Young, DDS, MMSC

Title

President

Phone

(415) 513-2455

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1780066142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 CREEKSIDE DR STE 103",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303538",
            "telephone_number": "916-983-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 CREEKSIDE DR STE 103",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303538",
            "telephone_number": "916-983-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC W. YOUNG, DDS, MMSC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-513-2455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MMSC"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "56904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Folsom, CA
• Providers in Folsom, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.