Provider Demographics
NPI:1720098684
Name:YOUNKIN & YOUNKIN, DDS, MS, LLC
Entity Type:Organization
Organization Name:YOUNKIN & YOUNKIN, DDS, MS, LLC
Other - Org Name:YOUNKIN & YOUNKIN ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:YOUNKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:614-891-7550
Mailing Address - Street 1:450 ALKYRE RUN
Mailing Address - Street 2:SUITE 290
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-6909
Mailing Address - Country:US
Mailing Address - Phone:614-891-7550
Mailing Address - Fax:614-891-7580
Practice Address - Street 1:450 ALKYRE RUN
Practice Address - Street 2:SUITE 290
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6909
Practice Address - Country:US
Practice Address - Phone:614-891-7550
Practice Address - Fax:614-891-7580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200971223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty