Young, Burton Ray
Young, Burton Ray is an sole proprietor health care provider with primary practice located at 111 S 13Th St , Murray KY 42071-2358. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Young, Burton Ray can be contacted via phone (270) 753-1206.Contact Information
Primary practice address
111 S 13Th St
Murray KY 42071-2358
Phone: (270) 753-1206
Fax: (270) 753-1216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4524 | Kentucky |
Profile Details
| NPI number | 1134287626 |
|---|---|
| LBN Legal business name | Young, Burton Ray |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134287626 | NPPES |
| Kentucky | Other | Y486 | FEP PROVIDER # |
| Kentucky | Other | 144483 | FEP PROVIDER # |
| Kentucky | MEDICAID | 60045242 | FEP PROVIDER # |
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