Mrs. Nichelle Marie Young
Dental Assistant
3635 Braselton Hwy Suite C
Dacula
, Georgia 30019-1068
Mrs. Nichelle Marie Young
Dental Assistant
3635 Braselton Hwy Suite C
Dacula
, Georgia 30019-1068
(678) 522-1363
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mrs. Nichelle Marie Young
- 770 Hounds Ridge Ct
- Lawrenceville, GA
- Zip : 30043-4079
- Phone : (678) 522-1363
Second Address
- Mrs. Nichelle Marie Young
- 3635 Braselton Hwy Suite C
- Dacula, GA
- Zip : 30019-1068
- Phone : (678) 714-7575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1184932857 |
|---|---|
| Provider Name | Mrs. Nichelle Marie Young |
| First Address | Lawrenceville, GA 30043-4079 |
| Second Address | Dacula, GA 30019-1068 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2010 |
| Last Update Date | 16/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.