DR. WALTER FULLER YOUNG (NPI# 1003019050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003019050 |
| Entity Type | Individual |
| Full Name | DR. WALTER FULLER YOUNG |
| Credential | DDS |
| Practice Address |
2265 Cascade Rd Sw Atlanta GA 30311-2801 |
| Practice Telephone | 4047534753 |
| Practice Fax Number | 4047534228 |
| Mailing Telephone | 4047534753 |
| Mailing Fax Number | 4047534228 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2008-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 007392 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00057153A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1508156225 | Walter Allen Young | Physician Assistant | 526 Corvette Ln, Houston, TX 77060-5841 | 2011-04-14 |
| 1942448469 | Walter Scott Young IIi | Psychiatry & Neurology | 11116 Pinion Ct, North Potomac, MD 20878-2565 | 2009-01-22 |
| 1295206571 | Walter Milton Young Iv | Physical Therapist | 59 Weaver Village Way, Weaverville, NC 28787-9492 | 2018-12-11 |
| 1770515868 | Walter Clark Young | Obstetrics & Gynecology | 1118 Ross Clark Cir, Suite 600, Dothan, AL 36301-3007 | 2006-07-07 |
| 1578528832 | Walter C. Young | Counselor | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2006-04-19 |
| 1356301055 | Walter Young | Internal Medicine | 221 W Colorado Blvd, Pav II, Suite 630, Dallas, TX 75208-2363 | 2006-03-25 |
| Street Address |
2265 CASCADE RD SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30311-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612694 | Modern Internal Medicine Urgent Care and Primary Care Inc | Clinic/Center | 2457 Martin Luther King Jr, Dr, Sw, Suit A, Atlanta, GA 30311 | 2019-07-27 |
| 1528515053 | Cherese Williams | Counselor | 2636 M L K Jr Dr Sw, Suite 22, Atlanta, GA 30311 | 2016-09-01 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1790180131 | Johnny L Johnson | Nutritionist | 3030 Cambelton Rd, Atlanta, GA 30311 | 2014-10-28 |
| 1770718330 | Clayton E. Bell Sr. | Chiropractor | 2905 Campbellton Road, Suite G, Atlanta, GA 30311 | 2009-05-26 |
| 1720243207 | Farida Zohouri | Counselor | 2536 Martin Luther King Jr. Dr. Sw, Atlanta, GA 30311 | 2008-07-23 |
| 1649348962 | Mona Elaine Reynolds | Chiropractor | 3079 Campbellton Road, Suite 205, Atlanta, GA 30311 | 2006-12-04 |
| 1245337211 | Loreen C Doyle-littles | Pediatrics | 1175 Cascade Pkwy, Pediatrics Health Care Team A, Atlanta, GA 30311 | 2006-09-20 |
| 1740383512 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2429 Martin Luther King Jr. Dr., Atlanta, GA 30311 | 2006-09-07 |
| 1407806359 | Booker T Poe | Pediatrics | 2600 Martin Luther King Jr Dr, Ste 202, Atlanta, GA 30311 | 2006-05-11 |
| Find all providers in zip 30311 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457919987 | Matthew Joseph Giordano | Dentist | 3525 Piedmont Rd Ne Bldg 5-408, Atlanta, GA 30305-1586 | 2019-05-30 |
| 1427519081 | Dentfirst, P.C. | Dentist | 530 17th St Nw Ste 340, Atlanta, GA 30318-5037 | 2019-03-27 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1336632454 | Daniela Lemoine | Dentist | 4920 Roswell Rd Ste 13a, Atlanta, GA 30342-2605 | 2018-06-13 |
| 1164912739 | Affordable Dentures & Implants - West Atlanta, P.C. | Dentist | 3695 Cascade Rd Sw Ste 550, Atlanta, GA 30331-2176 | 2018-05-18 |
| 1720595994 | Rss Michael Dierkes LLC | Dentist | 4920 Roswell Rd Ste 255, Atlanta, GA 30342-2686 | 2018-01-09 |
| 1093239170 | Shima Shahrokhi | Dentist | 195 Grogans Lndg, Atlanta, GA 30350-3131 | 2017-07-31 |
| 1366972556 | Hope Marshall | Dentist | 790 Glenwood Ave Se Ste 210, Atlanta, GA 30316-2024 | 2017-06-19 |
| 1710416466 | Sage Dental Group of Georgia LLC | Dentist | 1 Baltimore Pl Nw Ste 403, Atlanta, GA 30308-2116 | 2017-06-07 |
| 1780111617 | John Dennis Harvey | Dentist | 3350 W Stubbs Rd, Atlanta, GA 30349-1021 | 2017-05-23 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.