SHANNON YOUNG (NPI# 1043830003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043830003 |
| Entity Type | Individual |
| Full Name | SHANNON YOUNG |
| Credential | DDS |
| Practice Address |
40255 Grand River Ave Ste 100 Novi MI 48375-2149 |
| Practice Telephone | 2484767711 |
| Mailing Telephone | 2484767711 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901600501APP20 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063982213 | Shannon Kerry Young | Social Worker | 2024 Brown St, Brooklyn, NY 11229-4012 | 2018-11-30 |
| 1962983189 | Shannon Lyn Young | Counselor | 1811 Winchester Dr Apt 4, Elko, NV 89801-8330 | 2018-08-25 |
| 1851834220 | Shannon Young | Physical Therapy Assistant | 1740 Audubon Trl, Lutz, FL 33549-9510 | 2016-12-02 |
| 1396190344 | Shannon Lynn Young | Occupational Therapy Assistant | 617 N Michael St, Saint Marys, PA 15857-1153 | 2016-04-27 |
| 1194193565 | Shannon Young | Behavioral Analyst | 110 E 177th Street, 1 J, Bronx, NY 10453 | 2015-09-02 |
| 1962827337 | Shannon Claire Young | Physical Therapist | 625 Lincoln Ave Ste 107, N Charleroi, PA 15022-2451 | 2014-02-21 |
| 1801027917 | Shannon Young | Dentist | Usa Dental Clinic, Apo, AP 96376-5115 | 2009-08-06 |
| 1750511408 | Shannon Kellim Young | Psychologist | 1461 Hilyard St, Eugene, OR 97401-4311 | 2009-07-15 |
| 1508428806 | Shannon L Young | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-07-08 |
| 1053806778 | Shannon Young | Physical Therapy Assistant | 4686 E Asbury Cir, Denver, CO 80222-4723 | 2018-06-25 |
| Street Address |
40255 GRAND RIVER AVE STE 100 |
| City | NOVI |
| State | MI |
| Zip Code | 48375-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260719 | Katelynn R Jenkins | Dentist | 42430 W 12 Mile Rd Ste 201, Novi, MI 48377-3028 | 2020-06-22 |
| 1316419674 | Safari Kids Dental Pllc | Dentist | 44110 W 12 Mile Rd Ste 200, Novi, MI 48377-2614 | 2018-12-27 |
| 1851870265 | Ao of Novi, Pllc | Dentist | 24520 Meadowbrook Rd Ste 100, Novi, MI 48375-2866 | 2018-08-08 |
| 1760832794 | Jonathon Andrew Falvo | Dentist | 24955 Reeds Pointe Dr, Novi, MI 48374-2539 | 2016-06-21 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1750631628 | Future Image Dental PC | Dentist | 39595 W 10 Mile Rd Ste 106, Novi, MI 48375-2948 | 2012-09-18 |
| 1235496365 | Kenneth Joseph Kuzdak | Dentist | 41662 Kenilworth Ln, Novi, MI 48377-1594 | 2012-04-13 |
| 1538482377 | Lisa Mauriocourt Moss | Dentist | 24144 Westmont Dr, Novi, MI 48374-3660 | 2010-03-08 |
| 1699981795 | Stephen James Jarvie | Dentist | 23595 Novi Rd, Suite 110, Novi, MI 48375-5441 | 2007-05-15 |
| 1053523563 | Nevin Tchaoucheva Dmd PC | Dentist | 41714 W. Ten Mile Rd, Novi, MI 48375 | 2007-05-04 |
| Find all providers in NOVI | ||||
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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.