NPIMap

Organization Active NPI

Sharon Elise Young DMD PLLC

Doing business as Young Dentistry

  • Dentist
  • Tupelo, MS
National Provider Identifier
1962100610
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHARON ELISE YOUNG DMD PLLC
Doing business as
Young Dentistry
Practice address
604 Brunson Dr
Tupelo, MS 38801-4947
Phone
(662) 844-0894
NPI assigned
Feb 22, 2023
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Dr. Sharon Elise Young, DMDNPI 1699027896
Title
Owner
Phone
(662) 844-0894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

604 Brunson Dr
Tupelo, MS 38801-4947

Mailing address

604 Brunson Dr
Tupelo, MS 38801-4947
Phone (662) 844-0894

Other identifiers 1

IdentifierTypeStateIssuer
1699027896MedicaidMS

Other names 1

  • Young Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

604 Brunson Dr
Tupelo, MS 38801
Phone (662) 844-0894

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1962100610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 BRUNSON DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014947",
            "telephone_number": "662-844-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 BRUNSON DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014947",
            "telephone_number": "662-844-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON ELISE YOUNG DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-844-0894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699027896",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Young Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.