Healthcare Provider Details

I. General information

NPI: 1093641078
Provider Name (Legal Business Name): BRIDGETTE K YOUNG DMD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5925 LEHMAN DR STE 5
COLORADO SPRINGS CO
80918-3418
US

IV. Provider business mailing address

8152 WHEATLAND DR
COLORADO SPRINGS CO
80908-5695
US

V. Phone/Fax

Practice location:
  • Phone: 719-357-8989
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRIDGETTE YOUNG
Title or Position: DENTIST
Credential: DMD
Phone: 847-802-9245