Youngtown Denture Clinic, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YOUNGTOWN DENTURE CLINIC, INC.

Practice address

11100 W Michigan Ave
Youngtown, AZ 85363-1017

Phone

(623) 974-5629

Fax

(623) 974-1770

NPI assigned

Oct 16, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David M. Mengel, C.P.D.NPI 1659451771

Title

President (Y.D.C. Inc.)

Phone

(623) 974-5629

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David M Mengel, C.P.D.

  • Denturist
  • Youngtown, AZ
  • NPI 1659451771
  NPD (past) Authorized official
• Mark Paul Yates, DMD

  • Dentist
  • Youngtown, AZ
  • NPI 1194783886

  General Practice

  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861572919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 W MICHIGAN AVE",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631017",
            "telephone_number": "623-974-5629",
            "fax_number": "623-974-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 W MICHIGAN AVE",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631017",
            "telephone_number": "623-974-5629",
            "fax_number": "623-974-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGTOWN DENTURE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MENGEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT (Y.D.C. INC.)",
        "authorized_official_telephone_number": "623-974-5629",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Lee White, LCSW
• Wilbur Freeman DO PLLC
• Lorrie Willey, FNP
• Women's International Pharmacy, Inc. (Pet Health Pharmacy)
• Mark Paul Yates, DMD
• Youngtown Health, Inc. (Sunview Health and Rehabilitation Center)
• Youngtown SL Opco LLC

• General Practice Dentistry in Youngtown, AZ
• Providers in Youngtown, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.