DR. JORDAN D YOUNG (NPI# 1841483302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841483302 |
| Entity Type | Individual |
| Full Name | DR. JORDAN D YOUNG |
| Credential | D.M.D. |
| Practice Address |
109 S 65th Ave Ste 104 Ridgefield WA 98642-3708 |
| Mailing Address |
510 Allen St Kelso WA 98626-4139 |
| Practice Telephone | 3608872333 |
| Mailing Telephone | 3608872333 |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2016-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE00011193 | WA | Dental Providers |
| N | 122300000X | Dentist | D8952 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184139446 | Jordan Bradley Young | Physical Medicine & Rehabilitation | 4889 Golden Pkwy Ste 150, Buford, GA 30518-6111 | 2017-12-08 |
| 1154773414 | Jordan Young | Technician, Other | 2331 Peppermill Ct, Hartland, MI 48353-3146 | 2016-07-11 |
| 1407198450 | Jordan Young | Counselor | 9 Progressive St, Worcester, MA 01604-2407 | 2013-03-17 |
| 1942852652 | Jordan Young | Specialist/Technologist | 789 Pine St, Burlington, VT 05401-4933 | 2019-07-12 |
| 1285192237 | Jordan Taylor Young | Registered Nurse | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2019-03-08 |
| 1467959312 | Jordan Young | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2018-04-08 |
| 1003315631 | Jordan J Young | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2018-02-09 |
| 1508224775 | Jordan Webb Young | Physician Assistant | 100 Knotbreak Rd, Salem, VA 24153 | 2016-02-03 |
| 1962843367 | Jordan Leigh Young | Speech-Language Pathologist | 32 Garland Dr, Jackson, TN 38305-3602 | 2013-07-13 |
| Street Address |
109 S 65TH AVE STE 104 |
| City | RIDGEFIELD |
| State | WA |
| Zip Code | 98642-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137741 | Oasis Dental Ridgefield | Clinic/Center | 11 S. 47th Ave. Suite 101, Ridgefiled, WA 98642 | 2020-05-29 |
| 1063055895 | Rosauers Supermarkets Inc | Pharmacy | 101 S. 47th Avenue, Ridgefield, WA 98642 | 2019-10-24 |
| 1619459070 | Alina Gwin Johnson | Behavioral Analyst | 2613 Ne 161st, Ridgefeild, WA 98642 | 2018-09-02 |
| 1710325675 | Dennis Herbert Gillespie | Dentist | 109 S. 65th Ave., Suite 104, Ridgefield, WA 98642 | 2013-06-12 |
| 1336423508 | Amanda Lepley | Counselor | 20107 Ne 29th Ave, Ridgefield, WA 98642 | 2011-10-05 |
| 1356462675 | Battle Ground Physical Therapy | Clinic/Center | 2 South 56th Place, Suite 100, Ridgefield, WA 98642 | 2007-04-03 |
| 1245365386 | Marilyn Kay Milestone | Midwife | 8004 So. 5th St., Ridgefield, WA 98642 | 2007-02-22 |
| 1346246303 | Samuel W Richard | Family Medicine | 8507 South 5th Street, Suite 113, Ridgefield, WA 98642 | 2005-06-23 |
| 1710264171 | Generations Counseling | Community/Behavioral Health | 2 South 56th Place, Suite 201-c, Ridgefield, WA 98642 | 2011-11-12 |
| 1164659488 | Jonas Aharoni | Internal Medicine | 5515 Pioneer St, Ridgefield, WA 98642 | 2009-06-12 |
| Find all providers in zip 98642 | ||||
| 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 |
|---|---|---|---|---|
| 1174020630 | Home Town Dental Inc | Dentist | 31 Bailey Ave Ste C, Ridgefield, CT 06877-4533 | 2018-04-11 |
| 1962902221 | Kelsey Lauren Jones | Dentist | 65 Danbury Rd, Ridgefield, CT 06877-4003 | 2018-02-13 |
| 1679022503 | Shabab Naqvi | Dentist | 480 Linden Ct, Ridgefield, NJ 07657-2428 | 2016-10-04 |
| 1013344498 | Jordan Anderson | Dentist | 5807 Nw 166th St, Ridgefield, WA 98642-8553 | 2013-10-01 |
| 1710325675 | Dennis Herbert Gillespie | Dentist | 109 S. 65th Ave., Suite 104, Ridgefield, WA 98642 | 2013-06-12 |
| 1215203724 | Chan-kyu Kim | Dentist | 709 Bergen Blvd., Ridgefield, NJ 07657 | 2012-03-29 |
| 1598057804 | Kenneth Harrison Schrecengost | Dentist | 2217 Ne 179th St, #42, Ridgefield, WA 98642-8614 | 2011-05-04 |
| 1164734372 | Ashfaq Ahmad | Dentist | 890 Ethan Allen Hwy, Ridgefield, CT 06877-2843 | 2010-07-06 |
| 1184876815 | Raffi Kaprielian | Dentist | 432 Bergen Blvd, Suite C, Ridgefield, NJ 07657-2895 | 2008-10-13 |
| 1306001656 | Jungmin Esther Han | Dentist | 605 Broad Ave Ste 203, Ridgefield, NJ 07657-1604 | 2008-07-25 |
| Find all providers in RIDGEFIELD | ||||
| City | RIDGEFIELD |
| Zip Code | 98642 |
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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.