DALLIN C. YOUNG D.D.D P.A. NPI 1417119330

NPI Information

NPI: 1417119330
Provider Name: DALLIN C. YOUNG, D.D.D, P.A.

Doing Business As: CHILDREN'S DENTISTRY OF TWIN FALLS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1186 EASTLAND DR N
SUITE B
TWIN FALLS, ID
ZIP 83301
Phone: (208) 733-9331
Get Directions

DALLIN C. YOUNG, D.D.D, P.A. is a pediatric dentistry dentist in Twin Falls, ID. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DALLIN C. YOUNG, D.D.D, P.A. NPI is 1417119330. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Children's Dentistry Of Twin Falls.

The provider's business location address is:

1186 EASTLAND DR N
SUITE B
TWIN FALLS, ID
ZIP 83301-973
Phone: (208) 733-9331
Fax: (208) 732-1222

The provider's authorized official is Dallin Clifford Young .
The authorized official title is President and has the following contact phone number (208) 733-9331.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 7/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	D-3874-PD	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	807215900	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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