Provider Demographics
NPI:1619989274
Name:YOUNT, GENE MARTIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:MARTIN
Last Name:YOUNT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:15840
Mailing Address - Country:US
Mailing Address - Phone:814-371-2915
Mailing Address - Fax:
Practice Address - Street 1:100 MAIN ST
Practice Address - Street 2:
Practice Address - City:FALLS CREEK
Practice Address - State:PA
Practice Address - Zip Code:15840
Practice Address - Country:US
Practice Address - Phone:814-371-2915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018197L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009838710001OtherDPW
PAYO117317OtherUNITED CONCORDIA