Active NPIIndividual providerSole proprietor

Dr. Young T DO, DDS

Dentist, General Practice in Bergenfield, New Jersey

NPI Number1013125269
Practice location
99 New Bridge RD, Bergenfield, NJ 07621-4114
Fax
—
Last updated
July 8, 2007

Young Tae DO is a Dentist, General Practice based in Bergenfield, NJ. Young Tae DO practices in Bergenfield, NJ and has the professional credentials of DDS. The NPI Number for Young Tae DO is 1013125269 and holds a License No. 12069 (NJ). The current practice location address for Young Tae DO is 99 New Bridge RD, Bergenfield, NJ 07621-4114 and can be reached out via phone at 201-384-5941.

Provider Profile Details

NPI Number
1013125269
Provider Name
Young Tae DO
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
99 New Bridge RD, Bergenfield, NJ 07621-4114
Phone Number
201-384-5941
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 20, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
99 New Bridge RD
Bergenfield, NJ 07621-4114
Zip
07621-4114
Phone Number
201-384-5941
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
99 New Bridge RD
Bergenfield, NJ 07621-4114
City
Bergenfield
State
NJ
Zip
07621-4114
Phone Number
201-384-5941

License Information

License Number
12069
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Young T DO, DDS?

The NPI number of Dr. Young T DO, DDS is 1013125269. It was assigned on May 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Young T DO, DDS?

Dr. Young T DO, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 12069.

Where does Dr. Young T DO, DDS practice?

The practice location is 99 New Bridge RD, Bergenfield, NJ 07621-4114. The office can be reached at 201-384-5941 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013125269 directly on the NPPES registry website.

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