DR. SALLY YOUNG (NPI# 1043481609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043481609 |
| Entity Type | Individual |
| Full Name | DR. SALLY YOUNG |
| Credential | DMD |
| Practice Address |
2 Lester Ct Statesboro GA 30458-2118 |
| Mailing Address |
715 Northside Dr E Suite 5, Pmb #395 Statesboro GA 30458-4712 |
| Practice Telephone | 9124891386 |
| Practice Fax Number | 9127648533 |
| Mailing Telephone | 9124891386 |
| Mailing Fax Number | 9127648533 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10099 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00328314B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124460662 | Sally R Young | Counselor | 1268 W Main St # 2, Sun Prairie, WI 53590-1930 | 2013-07-25 |
| 1760495550 | Sally Sir-yee Young | Physical Medicine & Rehabilitation | 39500 West Ten Mile Road, Suite 101, Novi, MI 48375 | 2006-08-14 |
| 1053386474 | Sally Ann Young | Contractor | 6422 E State Road 218, Walton, IN 46994-9303 | 2006-02-20 |
| 1568015634 | Sally Owie Young | Nurse Practitioner | 223 7th St Ne, Washington, DC 20002-7045 | 2019-07-18 |
| 1154729309 | Sally Young | Physical Therapy Assistant | 507 S Main St, Viroqua, WI 54665-2059 | 2014-12-19 |
| 1528371671 | Sally Dunaway Young | Physical Therapist | 180 Ft Washingtn Ave, New York, NY 10032-3722 | 2010-07-19 |
| 1467666313 | Sally Serrell Young | Psychologist | 86 Lake St, Office 307, Burlington, VT 05401-5297 | 2007-05-10 |
| Street Address |
2 LESTER CT |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134235609 | Bray, Dmd & Young, Dmd, PC | Dentist | 2 Lester Ct, Statesboro, GA 30458-2118 | 2006-08-21 |
| 1225209877 | Cecil Baxter Bray IIi | Dentist | 2 Lester Ct, Statesboro, GA 30458-2118 | 2008-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145557 | Dogwood Pediatric Dentistry of Statesboro, LLC | Dentist | 123 Hill Pond Ln, Statesboro, GA 30458-0872 | 2019-07-12 |
| 1134235609 | Bray, Dmd & Young, Dmd, PC | Dentist | 2 Lester Ct, Statesboro, GA 30458-2118 | 2006-08-21 |
| 1821061557 | John Lyndon Wasdin | Dentist | 1501 Brampton Ave, Statesboro, GA 30458-0856 | 2006-02-13 |
| 1568935286 | Statesboro Pediatric Dentistry, LLC | Dentist | 613 E Grady St, Statesboro, GA 30458-5104 | 2019-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895002 | Ashley Starnesdmd LLC | Dentist | 5482 Chamblee Dunwoody Rd Ste 9, Dunwoody, GA 30338-4142 | 2020-09-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1366060618 | A Dental Home 4 Kidz | Dentist | 155 Carnegie Pl Ste 201, Fayetteville, GA 30214-3981 | 2020-07-13 |
| 1255973566 | Rehoboth Life Care Ministries, Inc | Dentist | 3208 Hwy 41, Byron, Byron, GA 31008 | 2019-10-09 |
| 1629619200 | Peachtree Hills Pediatric Dentistry | Dentist | 2385 Peachtree Rd Ne Ste A2ab, Atlanta, GA 30305-4139 | 2019-10-04 |
| 1952969396 | Ns3 Services, LLC | Dentist | 1039 Grant St Se Ste B11, Atlanta, GA 30315-2050 | 2019-05-31 |
| 1871050872 | Warner Robins Pediatric Dentistry LLC | Dentist | 102 S Houston Rd, Warner Robins, GA 31088-3904 | 2019-02-26 |
| 1730646886 | Smiles for Kids Norcross PC | Dentist | 3953 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 30092-5201 | 2019-02-25 |
| 1073083127 | Pediatric Dentistry of Central Georgia - Macon LLC | Dentist | 5437 Bowman Rd Ste 300, Macon, GA 31210-6575 | 2018-12-03 |
| 1275018582 | Jarrell Pediatric Dentistry, LLC | Dentist | 1538 13th Ave Ste 100, Columbus, GA 31901-1956 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.