IndividualActive
Jeremy Youngblood, DDS
NPI 1881813392 · Periodontics · Kansas City, MO
Provider details
- NPI number
- 1881813392
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 013891 (MO)
Specialties & taxonomies
Dental Providers
Practice location
6301 N Oak Trfy
Suite 102
Kansas City, MO 64118-4705
Phone: (816) 453-2323
Fax: (816) 453-3130
Approximate (ZIP-level) locationGet directions
Mailing address
6301 N Oak Trfy
Kansas City, MO 64118-4705
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.