Provider Demographics
NPI:1265526107
Name:EMORY K. YOUNG, D.M.D. AND COLLYER K. YOUNG, D.D.S., INC.
Entity type:Organization
Organization Name:EMORY K. YOUNG, D.M.D. AND COLLYER K. YOUNG, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLLYER
Authorized Official - Middle Name:K
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-732-5381
Mailing Address - Street 1:3221 WAIALAE AVE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5842
Mailing Address - Country:US
Mailing Address - Phone:808-732-5381
Mailing Address - Fax:808-737-9022
Practice Address - Street 1:3221 WAIALAE AVE
Practice Address - Street 2:SUITE 350
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5842
Practice Address - Country:US
Practice Address - Phone:808-732-5381
Practice Address - Fax:808-737-9022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty