COLLIERVILLE DENTAL ASSOCIATES
NPI 1285703884
Dentist - General Practice in Collierville, TN

NPI Status: Active since November 07, 2006

Contact Information

624 W POPLAR AVE
COLLIERVILLE, TN
ZIP 38017
Phone: (901) 853-2520
Fax: (901) 854-9273

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  • Organization
  • Dentist
  • General Practice

About COLLIERVILLE DENTAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Collierville Dental Associates, a provider established in Collierville, Tennessee operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1285703884 assigned on November 2006. The practitioner's primary taxonomy code is 1223G0001X with license number DS0000002304 (TN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Collierville Dental Associates. The authorized official of this NPI record is Charles Edmund Young Jr. D.d.s. (Owner)

NPI
1285703884
Provider Legal Name
CHARLES E. YOUNG, JR, DDS
Other Organization Name
COLLIERVILLE DENTAL ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
624 W POPLAR AVE COLLIERVILLE, TN 38017
Location Phone
(901) 853-2520
Location Fax
(901) 854-9273
Mailing Address
624 W POPLAR AVE COLLIERVILLE, TN 38017
Mailing Phone
(901) 853-2520
Mailing Fax
(901) 854-9273
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Collierville Dental Associates is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
DS0000002304
License State
TN
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES EDMUND YOUNG JR. D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(901) 853-2520

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285703884
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651406816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 4 + 0 + 6 + 8 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1285703884 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528137171 CHARLES EDMUND YOUNG JR. D.D.S.
Individual
Dentist (General Practice)624 W POPLAR AVE
COLLIERVILLE, TN 38017
(901) 853-2520
1790855989 DIANA YUAN LIN D.D.S.
Individual
Dentist (General Practice)624 W POPLAR AVE
COLLIERVILLE, TN 38017
(901) 853-2520
1871208298MRS. EMILY ROWLAND JONES RDH
Individual
Dental Hygienist624 W POPLAR AVE
COLLIERVILLE, TN 38017
(901) 853-2520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285703884, enumerated in the NPI registry as an "organization" on November 07, 2006

The provider is located at 624 W Poplar Ave Collierville, Tn 38017 and the phone number is (901) 853-2520

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on November 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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