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General NPI Number Information
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NPI Number | 1710952080
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Entity Type | Individual
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Provider Name | JEFFREY OWEN YOUNG D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 301 W 6TH AVE # G
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City | DENVER
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State | CO
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Zip | 80204-5182
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Country | US
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Telephone | 303-602-3243
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Fax | 303-602-6809
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Provider Business Mailing Address
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Address Line | 322 DENTAL SCIENCE BLDG S
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City | IOWA CITY
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State | IA
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Zip | 52242-1001
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Country | US
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Telephone | 319-335-7440
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Fax | 319-335-7451
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DDS-06813
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 106265
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License Number State | CO
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