Provider Demographics
NPI:1508058611
Name:YOUNG, DARNELL M (DMD)
Entity Type:Individual
Prefix:DR
First Name:DARNELL
Middle Name:M
Last Name:YOUNG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:233 ELM ST
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-4635
Mailing Address - Country:US
Mailing Address - Phone:203-933-2223
Mailing Address - Fax:203-933-2220
Practice Address - Street 1:233 ELM ST
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-4635
Practice Address - Country:US
Practice Address - Phone:203-933-2223
Practice Address - Fax:203-933-2220
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0097601223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry