Organization Name: | LORETTE M. POLITE-YOUNG DDS PA |
NPI Number: | 1114210531 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORETTE M POLITE-YOUNG (PRESIDENT) |
Mailing Address: | 2514 Cuthbertson Rd Suite B Waxhaw |
State: | NC US |
Postal Code: | 281736416 |
Phone Number: | 7042435898 |
Fax Number: | 7048434516 |
NPI Enumeration Date: | 05/18/2011 |
NPI Last Update Date: | 05/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 7797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |