BAILEY YOUNGBLADE, DDS

Dentist

Active Individual
NPI: 1508540147

Practice Address

617 RYAN ST STE 270
Pewaukee, WI 53072

Phone: (262) 695-8600

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 39656 (TX)

Frequently Asked Questions

NPI 1508540147 is the National Provider Identifier for BAILEY YOUNGBLADE, DDS, a Dentist provider located in Pewaukee, WI. This NPI was enumerated on June 14, 2023.
BAILEY YOUNGBLADE, DDS practices at 617 RYAN ST STE 270, Pewaukee, WI 53072.

Quick Facts

NPI
1508540147
Type
Individual
Enumerated
Jun 14, 2023
Last Updated
Sep 5, 2025

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