Provider Demographics
NPI:1700032398
Name:OH, YOUNG-MI (DDS)
Entity Type:Individual
Prefix:MRS
First Name:YOUNG-MI
Middle Name:
Last Name:OH
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 1:8413 DUNNINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-8592
Mailing Address - Country:US
Mailing Address - Phone:919-413-3907
Mailing Address - Fax:919-848-3273
Practice Address - Street 1:3001 RALEIGH ROAD PKWY W
Practice Address - Street 2:STE B
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-8213
Practice Address - Country:US
Practice Address - Phone:252-674-1124
Practice Address - Fax:252-674-1125
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC86361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice