Provider Demographics
NPI:1841754652
Name:YOUNG-JONES DENTAL CENTER
Entity Type:Organization
Organization Name:YOUNG-JONES DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:706-484-0282
Mailing Address - Street 1:136 SPARTA HWY
Mailing Address - Street 2:
Mailing Address - City:EATONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31024-8492
Mailing Address - Country:US
Mailing Address - Phone:706-484-0282
Mailing Address - Fax:
Practice Address - Street 1:136 SPARTA HWY
Practice Address - Street 2:
Practice Address - City:EATONTON
Practice Address - State:GA
Practice Address - Zip Code:31024-8492
Practice Address - Country:US
Practice Address - Phone:706-484-0282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental