Young Dental Group, a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YOUNG DENTAL GROUP, A PROFESSIONAL CORPORATION

Practice address

181 2ND Ave Ste 575
San Mateo, CA 94401-3838

Phone

(650) 532-3092

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Chrystle Cu, DDS

Title

President

Phone

(650) 532-3092

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1881184547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 2ND AVE STE 575",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013838",
            "telephone_number": "650-532-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 2ND AVE STE 575",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013838",
            "telephone_number": "650-532-3092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 2nd Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944013858",
            "country_code": "US",
            "telephone_number": "650-579-5728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUNG DENTAL GROUP, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "CU",
        "authorized_official_first_name": "CHRYSTLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-532-3092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Eugene Yocum, M.D.
• Monique Vance Yohanan, M.D.
• Jennie Yoo, MD
• Pauline Yoon
• Anne Yoshimura, ATC
• Brianna C Young, MA
• Dely A Young
• Rhia Farrah Young
• Richard Alan Young, MD
• Stanley Young, MD

• General Practice Dentistry in San Mateo, CA
• Providers in San Mateo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.