Young, Brian Todd

Young, Brian Todd is an individual health care provider with primary practice located at 11945 San Jose Blvd Ste. 101, Jacksonville FL 32223-1613. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Young, Brian Todd can be contacted via phone (904) 268-3434.

Contact Information

Primary practice address
11945 San Jose Blvd Ste. 101 Jacksonville FL 32223-1613
Phone: (904) 268-3434
Fax: (904) 288-8882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN15890 Florida

Profile Details

NPI number 1578758132
LBN Legal business name Young, Brian Todd
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Sep 7th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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