Provider Demographics
NPI:1346882479
Name:PIERCE, DAYOUNG NMN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAYOUNG
Middle Name:NMN
Last Name:PIERCE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 WINDING BLUFF WAY
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-5762
Mailing Address - Country:US
Mailing Address - Phone:931-338-5258
Mailing Address - Fax:
Practice Address - Street 1:145 GRANBY ST APT 612
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1662
Practice Address - Country:US
Practice Address - Phone:931-338-5258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-10
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35741122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist