Provider Demographics
NPI:1912266214
Name:YOUNG, ASHLEY JENNIFER (DDS)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:JENNIFER
Last Name:YOUNG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512B E IRON AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3236
Mailing Address - Country:US
Mailing Address - Phone:785-452-8949
Mailing Address - Fax:785-493-0224
Practice Address - Street 1:1512B E IRON AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-3236
Practice Address - Country:US
Practice Address - Phone:785-452-8949
Practice Address - Fax:785-493-0227
Is Sole Proprietor?:No
Enumeration Date:2012-05-08
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS609471223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics