Provider Demographics
NPI:1730201286
Name:YOUNG, ARTHUR ROSS (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:ROSS
Last Name:YOUNG
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Gender:M
Credentials:DDS,MS
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Mailing Address - Street 1:4211 SOUTHPOINT PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-0975
Mailing Address - Country:US
Mailing Address - Phone:904-296-8884
Mailing Address - Fax:904-296-9582
Practice Address - Street 1:4211 SOUTHPOINT PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-0975
Practice Address - Country:US
Practice Address - Phone:904-296-8884
Practice Address - Fax:904-296-9582
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN76371223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics