Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bailey Youngblade, DDS

Individual provider Dentist · NPI 1508540147

Bailey Youngblade, DDS is a Dentist in Pewaukee, Wisconsin. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

617 Ryan St Ste 270
Pewaukee, WI 53072-1880
Phone: (262) 695-8600
Fax: (262) 691-3469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 39656 (TX)

Record details

NPI number1508540147
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address617 Ryan St Ste 270, Pewaukee, WI 53072-1880

Other providers in Pewaukee