Provider Demographics
NPI:1700965084
Name:DR YOUNKINS & ASSOCIATES
Entity Type:Organization
Organization Name:DR YOUNKINS & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:D
Authorized Official - Last Name:YOUNKINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D DDS
Authorized Official - Phone:814-238-5252
Mailing Address - Street 1:205 E BEAVER AVENUE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-4903
Mailing Address - Country:US
Mailing Address - Phone:814-238-5252
Mailing Address - Fax:814-238-5756
Practice Address - Street 1:205 E BEAVER AVENUE
Practice Address - Street 2:SUITE 4
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-4903
Practice Address - Country:US
Practice Address - Phone:814-238-5252
Practice Address - Fax:814-238-5756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030985L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty