DR. JEFFREY YOUNG (NPI# 1417467515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417467515 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY YOUNG |
| Credential | DMD |
| Practice Address |
1353 Dorchester Ave Dorchester MA 02122-2932 |
| Practice Telephone | (617) 288-3230 |
| Mailing Telephone | 6172883230 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN1857741 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043784291 | Jeffrey E Young | Pharmacist | 1095 Tamiami Trl N Ste B, Nokomis, FL 34275-2117 | 2019-01-21 |
| 1356811392 | Jeffrey Allen Young | Chiropractor | 4266 Cottage Hill Rd, Ste 4, Mobile, AL 36609-4277 | 2018-12-03 |
| 1275069478 | Jeffrey Joe Young | PACE Provider Organization | 2129 Green Lee Lane, Dickinson, TX 77539-5152 | 2017-05-08 |
| 1770883449 | Jeffrey Ogden Young | Technician/Technologist | 34 Margaret Dr, Roosevelt, NY 11575-1535 | 2010-10-28 |
| 1881878940 | Jeffrey Alan Young | Technician, Other | 300 North Fill Pier, Commanding Officer, Cordova, AK 99574-0300 | 2007-12-26 |
| 1578742755 | Jeffrey A Young | Dentist | 29001 Cedar Rd Ste 660, Lyndhurst, OH 44124-4041 | 2007-10-24 |
| 1760519045 | Jeffrey A Young | Chiropractor | 17425 Stuebner Airline Rd Ste C, Spring, TX 77379-3708 | 2007-02-27 |
| 1578609681 | Jeffrey Scott Young | Social Worker | 6539 Anthony Dr Ste A, Victor, NY 14564-1400 | 2007-01-29 |
| 1659470763 | Jeffrey Stephen Young | Ophthalmology | W180 N8000 Town Hall Road, Menomonee Falls, WI 53051 | 2006-09-22 |
| 1477561207 | Jeffrey A. Young | Radiology | 111 Greely Rd, Cumberland, ME 04021-3800 | 2006-08-04 |
| Street Address |
1353 DORCHESTER AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750340410 | Holly L Goodale | Specialist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-03-21 |
| 1841891728 | Christopher White | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-11-05 |
| 1790393767 | Daniel Rabinowicz | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-07-16 |
| 1902432826 | Dorreen Danesh | Internal Medicine | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-03-23 |
| 1174179857 | Yue Yu | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-08-17 |
| 1316410376 | Rachel Wasserman | Nurse Practitioner | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-01-02 |
| 1114402807 | Dorchester House Multi Service Center | Clinic/Center | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-09-27 |
| 1861988503 | Sirena Huang | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-07-05 |
| 1336634526 | Stephen Cronk | Dentist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-06-29 |
| 1356842934 | Kyle Andrew Bertram | Pharmacist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| 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 |
|---|---|---|---|---|
| 1073136933 | Reynaldo Christy Riboul | Dentist | 12 Grant St Unit 2, Dorchester, MA 02125-1223 | 2020-05-26 |
| 1134652175 | Sage Family Dental | Dentist | 114 Washington Street, Dorchester, MA 02121 | 2017-04-06 |
| 1699133314 | Divya Upadhyay | Dentist | 614 Blue Hill Ave, Dorchester, MA 02121-3257 | 2016-02-09 |
| 1508176595 | Hoangvu M Vo | Dentist | 1370 Dorchester Ave # 32, Dorchester, MA 02122-2921 | 2010-10-08 |
| 1134378656 | Xuan Duong | Dentist | 1417 Dorchester Ave, Dorchester, MA 02122-2915 | 2008-09-09 |
| 1497968952 | Peach B Dore-tyrell | Dentist | 172 Ashmont St., Dorchester, MA 02124 | 2007-05-08 |
| 1144341603 | Nathan Quoc Duong | Dentist | 253 Adams St, Dorchester, MA 02122-1334 | 2007-04-03 |
| 1942334198 | John A Sifakis | Dentist | 771 Adams St, Dorchester, MA 02122-1919 | 2007-03-16 |
| 1588704399 | Michael Peter Folan | Dentist | 722 Adams St, Dorchester, MA 02122-1921 | 2007-02-08 |
| 1730243684 | Frank T Nghiem | Dentist | 1510 Dorchester Ave, 1510 Dorchester Ave, Dorchester, MA 02122-1327 | 2006-12-21 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
Please comment or provide details below to improve the information on DR. JEFFREY YOUNG.
| 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.