Provider Demographics
NPI:1255325627
Name:YOUNT, JAMES J (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:YOUNT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 N DETROIT ST
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-2234
Mailing Address - Country:US
Mailing Address - Phone:937-372-9631
Mailing Address - Fax:937-376-0633
Practice Address - Street 1:462 N DETROIT ST
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-2234
Practice Address - Country:US
Practice Address - Phone:937-372-9631
Practice Address - Fax:937-376-0633
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-02-12081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice