Provider Demographics
NPI:1043875792
Name:JEAN G. YOU, DDS, PLLC
Entity type:Organization
Organization Name:JEAN G. YOU, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN LAURICE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUEVARRA YOU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:551-580-1522
Mailing Address - Street 1:504 W WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-1846
Mailing Address - Country:US
Mailing Address - Phone:551-580-1522
Mailing Address - Fax:
Practice Address - Street 1:504 W WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1846
Practice Address - Country:US
Practice Address - Phone:551-580-1522
Practice Address - Fax:919-303-2926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-08
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty