NICOLE YOUNGERS


Address: 1705 Broadway Ave S, Rochester, MN 55904
Phone: 5072880120

NICOLE YOUNGERS (NPI# 1376708933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376708933
Entity Type Individual
Full Name NICOLE YOUNGERS
Credential DDS
Practice Address 1705 Broadway Ave S
Rochester
MN 55904
Mailing Address 3896 Cameo Pl Ne
Rochester
MN 55906-5459
Practice Telephone 5072880120
Mailing Telephone 5159549206
Enumeration Date 2008-07-23
Last Update Date 2018-06-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist D9120 OR Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
D14051 MN Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program 08796 IA Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
OR 023504 05

Office Location

Street Address 1705 BROADWAY AVE S
City ROCHESTER
State MN
Zip Code 55904

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558912303 Reliable Medical Supply LLC Durable Medical Equipment & Medical Supplies 1200 Eastgate Drive S.e., Rochester, MN 55904 2019-09-24
1952954992 Jane Yaakni Hopaki Midwife 1224 Eastgate Dr Se, Rochester, MN 55904 2019-07-18
1851896187 Hamdi A Ali Pediatrics 26 Mayo Park Dr Se, Rochester, MN 55904 2018-03-28
1255847059 Brooke Maleszewski Nurse Practitioner 821 3rd Ave Se Ste 15, Rochester, MN 55904 2017-12-17
1699215988 Maximus Language Resources Interpreter 1775 3rd Ave Se, Rochester, MN 55904 2017-03-06
1215484803 Kylene Starr Allen Social Worker 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 2016-09-01
1013384627 Breathe Easy Medical Supplies Inc. Durable Medical Equipment & Medical Supplies 40 16th St. Sw Suite G, Rochester, MN 55904 2015-08-31
1932473105 Michelle Lee Sather Counselor 343 Woodlake Drive Se, Rochester, MN 55904 2012-03-05
1538453022 Amy M Carey Social Worker 40 16th Street Sw, Suite D, Rochester, MN 55904 2011-06-02
1396059895 Lisa Marie Bingham Optometrist 111 S. Broadway, Rochester, MN 55904 2010-07-27
Find all providers in zip 55904

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760091763 Erie Canal Dental Pllc Dentist 91 Erie Canal Dr Ste A, Rochester, NY 14626-4603 2020-07-26
1891303962 Bryson Sloan Rushing Dentist 18 3rd St Sw Ste 300, Rochester, MN 55902-3022 2020-07-15
1033777636 Mindy D Dogmanits Dentist 1300 Jefferson Rd Ste 300, Rochester, NY 14623-3195 2019-05-30
1447814553 Gilbert Frank Hernandez Dentist 1299 Portland Ave Ste 4, Rochester, NY 14621-2727 2019-04-24
1669935920 Michael Delucia Dentist 2105 Dewey Ave, Rochester, NY 14615-2207 2019-04-12
1912460189 Vincenzo Giuseppe Marino Dentist 550 Latona Rd Ste B100, Rochester, NY 14626-2723 2019-04-12
1699255307 Urgent Dental Care, Pllc Dentist 1740 Culver Rd Lowr Suite, Rochester, NY 14609-3836 2018-08-21
1811488737 Anthony Richard Mesolella Dentist 2081 W Ridge Rd Ste 204, Rochester, NY 14626 2018-05-26
1235637141 Cornerstone Dental of Henrietta Dentist 2104 E. Henrietta Road, Rochester, NY 14623 2018-01-25
1710415039 Abner O De Los Santos Dentist 120 Erie Canal Dr Ste 150, Rochester, NY 14626 2017-05-31
Find all providers in ROCHESTER

Competitor

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City ROCHESTER
Zip Code 55904

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Dataset Information

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.

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