| Jerry E. Young, D.d.s., P.a. | |
|
208 West 4th Street Holton KS 66436 | |
| (785) 364-4636 | |
| (785) 364-4815 |
| Full Name | Jerry E. Young, D.d.s., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 208 West 4th Street, Holton, Kansas |
| Authorized Official Name and Position | Jerry E Young (PRESIDENT) |
| Authorized Official Contact | 7853644636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry E. Young, D.d.s., P.a. 208 West 4th Street Holton KS 66436 Ph: (785) 364-4636 | Jerry E. Young, D.d.s., P.a. 208 West 4th Street Holton KS 66436 Ph: (785) 364-4636 |
| NPI Number | 1578664330 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578664330 | NPI | - | NPPES |
| 17207 | Other | KS | BLUE CROSS & BLUE SHIELD |
| 627506 | Other | KS | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4625 (Kansas) | Primary |
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› Verified 6 days ago
Holton Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Columbine Dr, Holton, KS 66436 Phone: 785-364-3038 Fax: 785-364-3037 | |
Holton Family Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 W 4th St, Holton, KS 66436 Phone: 785-364-4636 Fax: 785-364-4815 |