Healthcare Provider Details

I. General information

NPI: 1760324388
Provider Name (Legal Business Name): CHEYENNE ALLEYNE-YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6783 VETERANS PKWY BLDG 4
COLUMBUS GA
31909-3254
US

IV. Provider business mailing address

2161 OAKMONT DR
RIVIERA BEACH FL
33404-1832
US

V. Phone/Fax

Practice location:
  • Phone: 706-321-3909
  • Fax:
Mailing address:
  • Phone: 561-803-5162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN124253
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberD.007712-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: