Provider Demographics
NPI:1093994527
Name:YOUNKIN, KEVIN D (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:D
Last Name:YOUNKIN
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:450 ALKYRE RUN
Mailing Address - Street 2:SUITE 290
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-6909
Mailing Address - Country:US
Mailing Address - Phone:614-891-7550
Mailing Address - Fax:614-891-7580
Practice Address - Street 1:450 ALKYRE RUN
Practice Address - Street 2:SUITE 290
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6909
Practice Address - Country:US
Practice Address - Phone:614-891-7550
Practice Address - Fax:614-891-7580
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300200971223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics