Provider Demographics
NPI:1235281049
Name:YOUNG, HENRY L JR (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:L
Last Name:YOUNG
Suffix:JR
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 DR. D. B. TODD JR. BOULEVARD
Mailing Address - Street 2:METROHEALTH MEDICAL CENTER
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208
Mailing Address - Country:US
Mailing Address - Phone:615-327-6082
Mailing Address - Fax:
Practice Address - Street 1:1005 DR. D. B. TODD JR. BOULEVARD
Practice Address - Street 2:METROHEALTH MEDICAL CENTER
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208
Practice Address - Country:US
Practice Address - Phone:615-327-6082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN50591223G0001X
OH300215541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice