Provider Demographics
NPI:1003689399
Name:YOUNGER & ASSOCIATES DDS PC
Entity type:Organization
Organization Name:YOUNGER & ASSOCIATES DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-946-6626
Mailing Address - Street 1:2121 E COAST HWY STE 160
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-1962
Mailing Address - Country:US
Mailing Address - Phone:919-946-6626
Mailing Address - Fax:
Practice Address - Street 1:2121 E COAST HWY STE 160
Practice Address - Street 2:
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-1962
Practice Address - Country:US
Practice Address - Phone:919-688-2050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty