Individual provider · Type 1 NPI
Charles John Youngblade Jr., DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Dunn, NC
Practice location
1802 West Cumberland Street
Dunn, NC 28334
Fax (910) 892-0419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 7702 (NC) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1881799062
Charles John Youngblade Jr., DDS's National Provider Identifier is 1881799062, issued on Sep 13, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Dunn, NC. The record was last updated on Jul 8, 2007.