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Blake Young
General Practice Dentistry in Winston Salem, North Carolina
NPI 1457005654

Blake Young is a General Practice Dentistry based in Winston Salem, NC and is specialized in General Practice. Blake Young practices in Winston Salem, NC. The NPI Number for Blake Young is 1457005654 and holds a License No. 12743 (North Carolina).

The current practice location address for Blake Young is 1000 Southpark Blvd Ste C, Winston Salem, NC and can be reached out via phone at 336-788-5073.

Location: 1000 Southpark Blvd Ste C, Winston Salem, NC, 27127-5072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457005654
Provider Name
Blake Young
Credential
Provider Entity Type
Individual
Gender
Male
Address
1000 Southpark Blvd Ste C, Winston Salem, NC, 27127-5072
Phone Number
336-788-5073
Fax Number
Provider Enumeration Date
02/07/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275751224 01 NC LEAL, SPANGLER AND JOHNSON DDS, PA GROUP NPI
institution
Provider Business Practice Location Address Details
Address
1000 Southpark Blvd Ste C
City
Winston Salem
State
North Carolina
Zip
27127-5072
Phone Number
336-788-5073
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Southpark Blvd Ste C
City
Winston Salem
State
North Carolina
Zip
27127-5072
Phone Number
336-788-5073
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12743 (North Carolina)
Definition
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.
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