EDWARD D YOUNG DDS PC (NPI# 1154414886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154414886 |
| Entity Type | Organization |
| Organization Name | EDWARD D YOUNG DDS PC |
| Practice Address |
4310 Leonard Nw Grand Rapids MI 49534 |
| Practice Telephone | 6167910230 |
| Mailing Telephone | 6167910230 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EDWARD D YOUNG (PRESIDENT) |
| Authorized Official Telephone | 6167910230 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2901013995 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4563730 | 05 |
| Street Address |
4310 LEONARD NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336792324 | Heather Duthler | Social Worker | 648 Kinney Ave Nw, Grand Rapids, MI 49534 | 2019-07-19 |
| 1114473550 | Tari Kruzel | Registered Nurse | 12955 3rd Ave Nw, Grand Rapids, MI 49534 | 2016-08-26 |
| 1972847184 | Indian Trails Camp, Inc. | Day Training, Developmentally Disabled Services | O-1859 Lake Michigan Dr. Nw, Grand Rapids, MI 49534 | 2012-11-15 |
| 1871743815 | Michael Robert Anderson Jr. | Chiropractor | 0-705 Tallmadge Woods Dr. Nw, Suite A, Grand Rapids, MI 49534 | 2008-09-26 |
| 1750459285 | Rick David Saier | Internal Medicine | 1175 Wilson Ave, Walker, MI 49534 | 2006-12-01 |
| 1558461756 | Sandra Staublin | Pediatrics | 4288 3 Mile Road, Walker, MI 49534 | 2006-09-25 |
| 1700986999 | Belinda Chou | Pediatrics | 4288 Three Mile Road, Walker, MI 49534 | 2006-09-25 |
| 1639196603 | David Robert Felton | Chiropractor | 4110 Lake Michigan Dr Nw, Grand Rapids, MI 49534 | 2006-07-16 |
| 1952349235 | Chiropractic Plus, P.C. | Chiropractor | 0 699 Tallmadge Wds Nw, Suite B, Grand Rapids, MI 49534 | 2006-06-02 |
| 1326351156 | Quratul A Aziz | Internal Medicine | 1175 Wilson Ave Nw, Walker, MI 49534 | 2010-07-21 |
| Find all providers in zip 49534 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932365020 | Gerard Paul Bosscher Jr. | Dentist | 4353 Sawkaw, N.e., Grand Rapids, MI 49525 | 2008-07-29 |
| 1619180148 | Laura L. Fogle | Dentist | 933three Mile Rd., Nw Ste 102, Grand Rapids, MI 49544-8216 | 2007-05-08 |
| 1235341827 | Paul J Karl | Dentist | 3989 Cascade Road, Grand Rapids, MI 49546 | 2007-05-04 |
| 1053523548 | Laura L. Fogle, D.d.s., M.s., P.C. | Dentist | 890 Three Mile Rd., Nw, Grand Rapids, MI 49544-8216 | 2007-05-04 |
| 1396967287 | Dennis Edward Winn II | Dentist | 1179 E Paris Ave Se Ste 220, Grand Rapids, MI 49546-3682 | 2007-05-02 |
| 1821119918 | Charles Caldwell | Dentist | 3875 Burton St Se, Grand Rapids, MI 49546-5816 | 2007-04-03 |
| 1174667950 | David J. Huyser | Dentist | 739 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2007-02-16 |
| 1205996121 | Thomas Edward Herremans | Dentist | 4353 Sawkaw Ne, Grand Rapids, MI 49525 | 2006-12-11 |
| 1962586792 | Paul W O'grady | Dentist | 4027 Lake Dr Se, Suite 130, Grand Rapids, MI 49546-8812 | 2006-10-25 |
| 1255414025 | Peder Aiton Gaalaas | Dentist | 504 Nw First Ave, Grand Rapids, MN 55744 | 2006-10-23 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49534 |
Please comment or provide details below to improve the information on EDWARD D YOUNG DDS PC.
| 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.