Young Family Dental WJ

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4766943 Issued in UT

Legal business name

YOUNG FAMILY DENTAL WJ

Practice address

4800 W. 8159 S.
West Jordan, UT 84088-8213

Phone

(801) 601-8200

Fax

(801) 996-3641

NPI assigned

Sep 1, 2016

Last updated

Mar 23, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

YOUNG FAMILY DENTAL INCAs reported in NPPES

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

Authorized official

Name

Susan John

Title

Practice Admin

Phone

(801) 224-0222

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Young Family Dental Inc2 organizations share this tax ID, including this one

Part of

Young Family Dental

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Young Family Dental Inc

  • Dentist
  • West Jordan, UT
  • NPI 1407307986
  NPD tax ID

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1942757570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W. 8159 S.",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888213",
            "telephone_number": "801-601-8200",
            "fax_number": "801-996-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W. 8159 S.",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888213",
            "telephone_number": "801-601-8200",
            "fax_number": "801-996-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG FAMILY DENTAL WJ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG FAMILY DENTAL INC",
        "enumeration_date": "2016-09-01",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "801-224-0222"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "4766943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4766943",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William James Yavelak, M.D.
• Terry R Yockey, LCSW
• Hyesun Yoo, L.AC.,DIPL.O.M.
• Inseo Yoon
• Young Family Dental Inc
• Adria Young, FNP-C
• Brandy Young
• Craig A Young, DMD
• Makinsey Young
• Royce Young

• General Practice Dentistry in West Jordan, UT
• Providers in West Jordan, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.