GOODMAN YOUNG PLLC (NPI# 1659819605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659819605 |
| Entity Type | Organization |
| Organization Name | GOODMAN YOUNG PLLC |
| Other Organization Name | TIMBERLINE FAMILY DENTISTRY |
| Practice Address |
796 E. Kiowa Ave. Suite H12 Elizabeth CO 80107 |
| Mailing Address |
Po Box 1169 796 E. Kiowa Ave. Suite H12 Elizabeth CO 80107 |
| Practice Telephone | 3036463940 |
| Mailing Telephone | 3036463940 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | MATTHEW ORVAL YOUNG (OWNER/DENTIST) |
| Authorized Official Telephone | 3036463940 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9908 | CO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Timberline Family Dentistry | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Goodman Young PLLC II | 3993 Limelight Avenue, Unit E, Castle Rock, CO 80109 |
| Street Address |
796 E. KIOWA AVE. SUITE H12 |
| City | ELIZABETH |
| State | CO |
| Zip Code | 80107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574413 | Healing Pines Recovery, LLC. | Substance Abuse Rehabilitation Facility | 5550 County Road 124, Elizabeth, CO 80107 | 2019-12-06 |
| 1083113146 | Integrative Counseling and Art Therapy | Clinic/Center | 133 E Grant St, Elizabeth, CO 80107 | 2018-02-05 |
| 1386161826 | Anastasia Romero | Social Worker | 650 E. Walnut Unit C, Elizabeth, CO 80107 | 2017-08-25 |
| 1912444001 | Kenneth Robertson | Social Worker | 650 East Walnit, Elizabeth, CO 80107 | 2017-01-26 |
| 1801204441 | Darnella L Archer | Counselor | 133 County Road 17, C2f, Elizabeth, CO 80107 | 2014-07-28 |
| 1598189367 | Margaret Ann Mckee | Counselor | 650 W. Walnut, Unit C, Elizabeth, CO 80107 | 2014-02-13 |
| 1164777660 | Alexis Thurlow | Counselor | 950 E. Walnut, Elizabeth, CO 80107 | 2012-07-20 |
| 1184979858 | John Duhamel | Counselor | 650 E. Walnut St, Elizabeth, CO 80107 | 2012-07-19 |
| 1275835506 | Aaron T. Shea | Social Worker | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2010-11-18 |
| 1043532013 | Robert Smith | Registered Nurse | 34052 Prairie Cr, Elizabeth, CO 80107 | 2010-02-18 |
| Find all providers in zip 80107 | ||||
| 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 |
|---|---|---|---|---|
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1760008486 | Jose Antonio Alfonso | Dentist | 775 N Broad St Apt A504, Elizabeth, NJ 07208-2417 | 2020-06-18 |
| 1952824310 | Family Dental Practice of New Jersey, LLC | Dentist | 560 Newark Ave Fl 2, Elizabeth, NJ 07208-3307 | 2017-07-18 |
| 1811263171 | Cassandra Kahn | Dentist | 1124 E Jersey St, Elizabeth, NJ 07201-2406 | 2012-03-30 |
| 1831498328 | Elizabeth Smiline Dental, LLC | Dentist | 1206 E Grand St, Elizabeth, NJ 07201-2309 | 2011-03-23 |
| 1629229513 | Jina Kandas | Dentist | 14 Winfield Scott Plz, Elizabeth, NJ 07201-2443 | 2008-10-09 |
| 1588825715 | Rafael Mikhailov | Dentist | 65 Jefferson Avenue, Elizabeth, NJ 07201 | 2008-06-20 |
| 1932328119 | Joseph Anthony Galletta | Dentist | 39 Jefferson Ave, Elizabeth, NJ 07201 | 2007-04-25 |
| 1417010984 | Gerald E Pepe | Dentist | 125 Rock Run Road, Elizabeth, PA 15037 | 2006-12-18 |
| 1700967585 | Daniel G Hill Dds PC | Dentist | 210 S Elizabeth Street, Unit E, Elizabeth, CO 80107 | 2006-10-18 |
| Find all providers in ELIZABETH | ||||
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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.