Jeremy Youngblood, DDS

NPI 1881813392 · on the registry since 2007 · sole proprietor

Practice

Address: 6301 N Oak Trfy
Suite 102
Kansas City, MO 64118
Phone: (816) 453-2323
Fax: (816) 453-3130
Organisation at this address: Cookson & Hansen, Dds, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Missouri