Bradford Young Family & Cosmetic Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DS035624 Issued in PA

Legal business name

BRADFORD YOUNG FAMILY & COSMETIC DENTISTRY

Practice address

1275 S. Cedar Crest Boulevard
Allentown, PA 18103

Phone

(610) 439-1363

Fax

(610) 439-1892

NPI assigned

Feb 23, 2018

Last updated

Jun 19, 2018By 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

Bradford G. Young, DMDNPI 1578642807

Title

Owner

Phone

(610) 439-1363

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Bradford Gregory Young, DMD

  • Dentist
  • Allentown, PA
  • NPI 1578642807
  Authorized official Same address or phone

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1942701008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 S. CEDAR CREST BOULEVARD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "610-439-1363",
            "fax_number": "610-439-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S. CEDAR CREST BOULEVARD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "610-439-1363",
            "fax_number": "610-439-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD YOUNG FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-439-1363",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS035624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babak Bozorgnia, M.D
• Joseph Charles Bozzo, PA
• Paul M. Braadt, DC
• Andrew Brackbill, M.D.
• Robert Brackbill III, DO
• Jennifer Ann Bradley, PH.D.
• Ashleigh Brady
• John Greg Brady, D.O.
• Monica Brandau, DO
• Thomas G Brandecker, MD

• Dentist in Allentown, PA
• Providers in Allentown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.