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

Blake Young

Individual provider General Practice Dentistry · NPI 1457005654

Blake Young is a General Practice Dentistry in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

1000 Southpark Blvd Ste C
Winston Salem, NC 27127-5072
Phone: (336) 788-5073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12743 (NC)

Record details

NPI number1457005654
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 7, 2022
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

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