NPI 1003019050

Walter Fuller Young, DDS

Practitioner Dentist Atlanta, GA

Practice location

Address: 2265 Cascade Rd SW, Atlanta, GA 30311-2801
Phone: (404) 753-4753
Fax: (404) 753-4228

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 007392 (GA)

Other Dentist providers in Georgia →

Registry record

NPI: 1003019050
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2007
Record last updated: 24 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.