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Blake Young
NPI 1457005654 · on the registry since 2022
Practice
- Address
- 1000 Southpark Blvd Ste C
Winston Salem, NC 27127 - Phone
- (336) 788-5073
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina