Young, Catherine O
Young, Catherine O is an individual health care provider with primary practice located at 975 Veterans Blvd , Redwood City CA 94063-1714. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Young, Catherine O can be contacted via phone (650) 480-5465.Contact Information
Primary practice address
975 Veterans Blvd
Redwood City CA 94063-1714
Phone: (650) 480-5465
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 22DI02129700 | New Jersey |
| Dental Providers / General Practice | 1223G0001X | DDS56639 | California |
Profile Details
| NPI number | 1770553711 |
|---|---|
| LBN Legal business name | Young, Catherine O |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jul 21st, 2024 - about 2 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 | 1770553711 | NPPES |
| New Jersey | MEDICAID | 0038695 | |
| New Jersey | Other | BY8918899 |
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