MR. JERRY P. YOUNG


Address: 646 N Diamond Bar Blvd, Diamond Bar, CA 91765-1037
Phone: 9098612661

MR. JERRY P. YOUNG (NPI# 1417045485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417045485
Entity Type Individual
Full Name MR. JERRY P. YOUNG
Credential D.D.S.
Practice Address 646 N Diamond Bar Blvd
Diamond Bar
CA 91765-1037
Practice Telephone 9098612661
Practice Fax Number 9098616951
Mailing Telephone 9098612661
Mailing Fax Number 9098616951
Enumeration Date 2006-10-11
Last Update Date 2013-07-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
31170 CA Dental Providers

Other Providers JERRY YOUNG

NPI Name Taxonomy Address Enumeration
1609077957 Jerry A Young Dentist 14 E Silver St, Lebanon, OH 45036-1804 2007-05-31
1669573424 Jerry E Young Dentist 208 West 4th Street, Holton, KS 66436 2006-09-26
1154408235 Jerry D Young Surgery 600 Hospital Cir, Suite 201, Bay City, TX 77414-4771 2006-11-01
1538244504 Jerry Lee Young Pharmacist 154 Main St, Decatur, AR 72722 2006-10-26
1104857333 Jerry Tuck Young Optometrist 623 E Matthews Ave, Jonesboro, AR 72401-3145 2006-07-05
1760458871 Jerry V Young Anesthesiology 550 University Blvd, Indianapolis, IN 46202-5149 2006-02-28

Office Location

Street Address 646 N DIAMOND BAR BLVD
City DIAMOND BAR
State CA
Zip Code 91765-1037

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699863654 Young and Short, A Dental Corporation Dentist 646 N Diamond Bar Blvd, Diamond Bar, CA 91765-1037 2006-10-11
1558835165 Jeon Cho Dental Partnership Dentist 646 N Diamond Bar Blvd, Diamond Bar, CA 91765 2019-01-16
1336216175 Maureen T Short Dentist 646 N Diamond Bar Blvd, Diamond Bar, CA 91765-1037 2006-11-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093354839 American Fertility Medical Center Corporation Clinic/Center 1370 Valley Vista Dr Suite 135, Diamond Bar, CA 91765 2019-12-26
1780221101 Jong Moon Lee Dentist 1108 So. Diamond Bar Blvd. Diamond Bar, Diamond Bar, CA 91765 2019-12-04
1740741271 Dr Doshi Dds Dental Corporation Dentist 3209 S Brea Canyon Road Suite #f, Diamond Bar, CA 91765 2019-03-27
1669998423 Justin Leopoldo Lopez Behavior Technician 3230 Fallow Field Dr., Diamond Bar, CA 91765 2017-08-14
1295258564 Chino Care Inc. Clinic/Center 5402 Philadelphia St., Suite C, Chino, CA 91765 2017-07-19
1962942292 Sonia Wurtenberger Marriage & Family Therapist 21660 Copley Drive, Suite 210, Diamond Bar, CA 91765 2017-03-06
1225575863 Swapnaja M Honnakore Speech-Language Pathologist 706 N. Diamond Bar Blvd, B2, Diamond Bar, CA 91765 2017-01-20
1659816106 Transit Solutions Non-emergency Medical Transport (VAN) 23545 Palomino Dr., 518, Diamond Bar, CA 91765 2016-12-19
1316498215 Rite Aid Pharmacy 2059 S Garey Avenue, Pomona, CA 91765 2016-10-17
1104372978 Marie Claude Dor Registered Nurse 2704 Castle Rock Road, Diamond Bar, CA 91765 2016-08-31
Find all providers in zip 91765

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780221101 Jong Moon Lee Dentist 1108 So. Diamond Bar Blvd. Diamond Bar, Diamond Bar, CA 91765 2019-12-04
1740741271 Dr Doshi Dds Dental Corporation Dentist 3209 S Brea Canyon Road Suite #f, Diamond Bar, CA 91765 2019-03-27
1326544453 Rishi Bhatt Dentist 1111 Grand Ave Ste G, Diamond Bar, CA 91765-2227 2018-04-05
1003339805 Ryann Elizabeth Vasquez Dentist 817 Windwood Dr, Diamond Bar, CA 91789-3253 2017-07-24
1710409446 John Hans Lee Dentist 23707 Highland Valley Rd, Diamond Bar, CA 91765-1167 2017-07-14
1134596083 Myoli Herrero Landig Dentist 1241 Grand Ave Ste G, Diamond Bar, CA 91765-4447 2015-08-26
1255778429 Gad Professional Dental Corporation Dentist 20657 Golden Springs Dr Ste 207, Diamond Bar, CA 91789-3875 2013-05-29
1346581709 W.a. Samaan Dds Inc Dentist 750 N Diamond Bar Blvd Ste 216, Diamond Bar, CA 91765-1023 2013-03-11
1316257371 Rex G Chuang Dentist 1148 Bramford Ct, Diamond Bar, CA 91765-6501 2010-10-08
1154637833 Rodgers and Chu Dental Corporation Dentist 2841 S Diamond Bar Blvd Ste 8, Diamond Bar, CA 91765-3473 2010-08-19
Find all providers in DIAMOND BAR

Competitor

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City DIAMOND BAR
Zip Code 91765

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Dataset Information

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.

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