Provider Demographics
NPI:1386667582
Name:KOHN & YOUNG, PC
Entity Type:Organization
Organization Name:KOHN & YOUNG, PC
Other - Org Name:APPLE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-751-6868
Mailing Address - Street 1:28225 HOOVER RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-5436
Mailing Address - Country:US
Mailing Address - Phone:586-751-6868
Mailing Address - Fax:586-751-6264
Practice Address - Street 1:28225 HOOVER RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-5436
Practice Address - Country:US
Practice Address - Phone:586-751-6868
Practice Address - Fax:586-751-6264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI15192122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty