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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
31170 | CA | Dental Providers |
| 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 |
| Street Address |
646 N DIAMOND BAR BLVD |
| City | DIAMOND BAR |
| State | CA |
| Zip Code | 91765-1037 |
| 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 |
| 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 Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| 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 | ||||
| City | DIAMOND BAR |
| Zip Code | 91765 |
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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.