Young Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YOUNG FAMILY DENTISTRY, LLC

Doing business as

Cassville Dental Care

Practice address

54 Main St
Cassville, MO 65625-9400

Phone

(417) 847-1443

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Lori Young

Title

Manager

Phone

(417) 781-3440

Specialties & licenses 1

Addresses

Other names 1

• Cassville Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dan Kip Young, DMD

  • General Practice Dentistry
  • Joplin, MO
  • NPI 1821184045
  NPD (past)

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1801366315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656259400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656259400",
            "telephone_number": "417-847-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "417-781-3440"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cassville Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Logan Whitley, PHARMD
• Pamela J Whitlock, FNP
• Amanda K. Winfrey, FNP
• Kelsey Wiseman, PT, DPT
• Sheila Renee Wolf, OTRL

• General Practice Dentistry in Cassville, MO
• Providers in Cassville, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.