NICOLE YOUNGERS (NPI# 1376708933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 023504 | 05 |
Street Address |
1705 BROADWAY AVE S |
City | ROCHESTER |
State | MN |
Zip Code | 55904 |
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 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 |
---|---|---|---|---|
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 |
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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.