DR. WILLIAM BRUCE YOUNG (NPI# 1780607010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780607010 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM BRUCE YOUNG |
| Credential | D.M.D. |
| Practice Address |
505 Pelham Rd S Jacksonville AL 36265-2775 |
| Practice Telephone | 2564354464 |
| Practice Fax Number | 2564352079 |
| Mailing Telephone | 2564354464 |
| Mailing Fax Number | 2564352079 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3308 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA ID | 793127 | 01 | |
| AL | 000097747 | 05 | |
| AL | BLUE CROSS/BLUE SHIELD ID | 51097747 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649815036 | William O'neal Young | Student in an Organized Health Care Education/Training Program | 501 Pelham Dr Apt O107, Columbia, SC 29209-1367 | 2019-11-09 |
| 1871065433 | William Francis Young | Psychologist | 603 Post Office Rd Ste 210, Waldorf, MD 20602-1914 | 2018-12-20 |
| 1245609809 | William Young | Physical Therapy Assistant | 6142 Windbrooke St, San Antonio, TX 78249-2422 | 2015-09-24 |
| 1851721567 | William Withroe Young | Obstetrics & Gynecology | 22 Rope Ferry Rd, Hanover, NH 03755-1405 | 2013-11-15 |
| 1386919629 | William W. Young | Counselor | 1316s Asylum Ave, Hartford, CT 06105-6001 | 2012-03-20 |
| 1437481579 | William Andrew Young | Acupuncturist | 4022 Tennyson St, Denver, CO 80212-2104 | 2010-01-30 |
| 1861663759 | William Marcus Young Sr. | Marriage & Family Therapist | 3910 Tchulahoma Rd, Memphis, TN 38118-5820 | 2008-03-18 |
| 1245357797 | William Ray Young | Dentist | 12805 Newport Ave, Tustin, CA 92780-2711 | 2007-03-22 |
| 1639207210 | William Basil Young | Specialist | 140 N Orlando Ave Ste 130, Winter Park, FL 32789-3685 | 2007-03-02 |
| 1932271079 | William Dennis Young | Family Medicine | 3032 Temple Trl, Winter Park, FL 32789-1166 | 2006-11-14 |
| Street Address |
505 PELHAM RD S |
| City | JACKSONVILLE |
| State | AL |
| Zip Code | 36265-2775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154748218 | Regional Dental Center | Dentist | 505 Pelham Rd S, Jacksonville, AL 36265-2775 | 2014-03-26 |
| 1114234010 | William Bruce Young Dmd | Dentist | 505 Pelham Rd S, Ste A, Jacksonville, AL 36265-2775 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700436144 | Griffin Loflin | Specialist/Technologist | 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 | 2019-09-17 |
| 1114304011 | Caroline Ross | Counselor | 1215 Jackson Way Sw, Jacksonville, AL 36265 | 2015-04-29 |
| 1083001226 | Tracey Hudgins | Counselor | 1215 Jackson's Way, Jacksonville, AL 36265 | 2015-04-24 |
| 1235415118 | Adam Pike | Pharmacist | 311 Pelham Rd So, Jacksonville, AL 36265 | 2011-10-24 |
| 1386829489 | Physicians Choice Dialysis of Jacksonville, LLC | Clinic/Center | 331 Henry Road Sw, Jacksonville, AL 36265 | 2008-01-08 |
| 1659409365 | Kenneth Wayne Campbell | Nurse Anesthetist, Certified Registered | 1701 Pelham Road, Jacksonville Medical Center, Jacksonville, AL 36265 | 2007-03-02 |
| 1154478378 | Diana C. Ford | Counselor | 1250 Jackson's Way, Garrett Counseling Center, Jacksonville, AL 36265 | 2007-01-03 |
| 1487710950 | James Richard Morrison | Chiropractor | 1550 Pelham Rd. S., Jacksonville, AL 36265 | 2006-12-29 |
| 1447332937 | Millennium Anesthesia Services | Anesthesiology | 1701 Pelham Road S, Jacksonville, AL 36265 | 2006-10-20 |
| 1407943228 | Brunda Revanna, Md | Clinic/Center | 1465 A 1st Ave Sw Ste C, Jacksonville, AL 36265 | 2006-10-05 |
| Find all providers in zip 36265 | ||||
| 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 |
|---|---|---|---|---|
| 1902419864 | Andre M Fang | Dentist | 6801 Roosevelt Blvd, Jacksonville, FL 32212-1192 | 2020-08-28 |
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1093323479 | Britney Marie Cruz | Dentist | 1280 Western Blvd Unit 200, Jacksonville, NC 28546-7658 | 2020-07-21 |
| 1083238786 | Sleep Better Solutions LLC | Dentist | 4215 Southpoint Blvd Ste 240, Jacksonville, FL 32216-0932 | 2020-05-29 |
| 1114550258 | James Moran | Dentist | 7990 Baymeadows Rd E # 718, Jacksonville, FL 32256-2961 | 2020-02-18 |
| 1265075329 | Latoya Goins | Dentist | 1280 Western Blvd, Jacksonville, NC 28546-6653 | 2019-10-22 |
| 1437706462 | Stephanie Marquez | Dentist | 751 Oak St Ste 601, Jacksonville, FL 32204-3373 | 2019-08-23 |
| 1831751064 | Rachel Marie Schloth | Dentist | 12086 Fort Caroline Rd Ste 105, Jacksonville, FL 32225-2688 | 2019-07-09 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1235796954 | Carolina Garcia | Dentist | 790 Skymarks Dr Ste 109, Jacksonville, FL 32218-7267 | 2019-05-29 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 36265 |
Please comment or provide details below to improve the information on DR. WILLIAM BRUCE 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.