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NPI Code Detail

MEDICARE: DR. CATHERINE O YOUNG DDS

MEDICARE: DR. CATHERINE O YOUNG DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist22DI02129700NJ
21223G0001XGeneral Practice DentistryDDS56639CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770553711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE O YOUNG DDS
Provider Business Mailing Address
First Line : 1950 ELKHORN CT UNIT 409
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-2386
Country : US
Telephone Number : 732-710-6499
Fax Number :
Provider Business Practice Location Address
First Line : 975 VETERANS BLVD
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94063-1714
Country : US
Telephone Number : 650-480-5465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 07/21/2024

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Directions to “ DR. CATHERINE O YOUNG DDS” Practice Location

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