DR. JERRY A YOUNG (NPI# 1609077957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609077957 |
| Entity Type | Individual |
| Full Name | DR. JERRY A YOUNG |
| Credential | DDS |
| Practice Address |
14 E Silver St Lebanon OH 45036-1804 |
| Practice Telephone | 5139322851 |
| Mailing Telephone | 5139322851 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30 013789 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE LISENCE | 30 013789 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1417045485 | Jerry P. Young | Dentist | 646 N Diamond Bar Blvd, Diamond Bar, CA 91765-1037 | 2006-10-11 |
| 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 |
14 E SILVER ST |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893034 | Aditi Gupta | Dentist | 367 Route 120 Unit C, Lebanon, NH 03766-1430 | 2018-06-04 |
| 1982126876 | Drew Garrett Hubbard | Dentist | 816 S 2nd St, Lebanon, OR 97355-3226 | 2017-07-12 |
| 1770984585 | Kaila Alexis Clift | Dentist | 1230 S 5th Ave, Lebanon, PA 17042-7814 | 2014-09-11 |
| 1538569496 | Serenity Dental | Dentist | 1030 W Main St, Lebanon, TN 37087-3345 | 2014-08-28 |
| 1235493487 | Kurush Savabi | Dentist | 1375 S Lebanon St, Suite 200, Lebanon, IN 46052-3010 | 2012-07-02 |
| 1083976799 | Timothy Alan Pfountz | Dentist | 335 S. Hartmann Drive, Lebanon, TN 37087-3724 | 2012-06-10 |
| 1477872489 | Lauren Currall Simms | Dentist | 77 Haytown Rd, Lebanon, NJ 08833-4010 | 2010-06-01 |
| 1659533479 | Bracy C Haynie | Dentist | 102 Hartman Dr, Suite H, Lebanon, TN 37087-2569 | 2008-07-02 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1578757209 | John Francis Mielo Jr. | Dentist | 3 Werner Way, Suite 202, Lebanon, NJ 08833-2223 | 2007-09-06 |
| Find all providers in LEBANON | ||||
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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.